Saturday, April 16, 2022

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Case History

60 year old woman, an administrative assistant with high vocal demands and a significant past medical history of gastroesophageal reflux and tobacco use, presents to the clinic with progression of polypoid corditis over a decade treated surgically.

Video Progression

 

Still Images

Dysphonia 2011

 

Dysphonia 2015

 

Dysphonia 2017

 

Dysphonia 2019

 

Dysphonia 2019 preop

 

Dysphonia 2019 surgery

 

Dysphonia 2020

 

Dysphonia 2021

Modified Operative Note


Preop Dx: Polypoid corditis, vocal fold polyps, dysphonia, OSAS
Postop Dx: Same
Procedure: Microdirect laryngoscopy with resection of vocal fold polyps
Anesthesia: General OETT - 5-0 MLT use of image guided glide scope for intubation
Findings: As per photos below; anterior commissure preserved to decrease risk of anterior web. All specimens to path

References

Dewan K, Chhetri DK, Hoffman H. Reinke's edema management and voice outcomes. Laryngoscope Investig Otolaryngol. 2022 Jun 17;7(4):1042-1050. doi: 10.1002/lio2.840. PMID: 36000026; PMCID: PMC9392404.