Affiliation: | *From the Lakeshore Professional Voice Center, Lakeshore Ear, Nose, & Throat Center, St. Clair Shores, MI †American Institute for Voice and Ear Research, Philadelphia, PA ‡Department of Otolarngology-Head and Neck Surgery, Thomas Jefferson University Graduate Hospital, Philadelphia, PA |
Abstract: | Vocal process avulsion is a rare complication of intubation or external laryngeal trauma that can cause significant dysphonia. The vocal process develops independently from the body of the arytenoid cartilage, which results in a fusion plane that is vulnerable to trauma. The findings of vocal process avulsion may be subtle, and the relationship of the vocal process to the body of the arytenoid cartilage must be examined closely. Stroboscopy is critical in the evaluation. We describe three cases of vocal process avulsion encountered by the senior author (R.T.S.) over the last 5 years and discuss our approaches to evaluation and treatment. All cases were repaired endoscopically. However, we used three different techniques. These include chemical tenotomy with botulinum toxin, closed reduction with fat injection, and open reduction via cordotomy. |