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Sulcus Vocalis

 

This condition is recognized endoscopically by the presence of a linear groove

or furrow which runs along the medial edge of the true vocal folds.

 

Watch video on Sulcus Vocalis @ YouTube

 

 

 

Examination under anaesthesia showing the affected area caused by sulcus vocalis (arrows).  The epithelium is directly stuck onto the vocal ligament resulting in bowing and phonatory gap with loss of mucosal waves on laryngeal videostroboscopy. 

Scar and Sulcus

Figure shows scarred right vocal fold (yellow ellipse) with sulcus and loss of tissue of its free edge (green ellipse).  The opposite vocal fold showed similar pathology with an obvious tissue loss (+).

Post-irradiated Larynx with Synechiae Formation

Fibrous brand bridging medial edge of anterior vocal folds (arrow) in a patient who had irradiation for laryngeal carcinoma.