Vocal process granuloma of the larynx--recognition, differential diagnosis and treatment.
Mucous membrane and mucoperichondrium covering the medial surface of arytenoid cartilages and their
vocal processes.
(1-3) Stroboscopic findings suggestive of arytenoid dislocation are: (1) vocal fold fixation or hypomobility, (2)
vocal process height asymmetry, and (3) absence of a Jostle sign.
Long-standing vocal fold paralysis without reinnervation usually leads to incomplete glottic closure, vocal fold atrophy and bowing, and decreased
vocal process and vocal fold heights.
The TA makes up the body of the vocal fold and runs parallel to the vibrating margin from the
vocal process of the arytenoid cartilage to the anterior attachment at the commissure of the thyroid cartilage.
A 52-year-old man with intermittent hoarseness was found to have a large left
vocal process granuloma (figure 1).
A 5-0 Vicryl suture was used to reapproximate the
vocal process to the exposed arytenoid cartilage along its medial surface.
In Transactions of the International Medical Conference, 7th Session, Volume III, a record of lectures held in London during the summer of 1881, Garcia fils stated his frustration at being unable to adequately explain the
vocal process to students, and how he came to invent the laryngoscope.
(1,2) Hirano et al reported that a
vocal process divides the glottis into two parts: anterior and posterior.
This objective data was collected in an effort to establish whether measurable markers of functioning in the
vocal process would reveal connections between the teaching techniques employed in this class and the improvements in student singing.