Structural Changes in Vocal Fold : Congenital and Acquired Cysts

Congenital and Acquired Cysts

Content on this page requires a newer version of Adobe Flash Player.

Get Adobe Flash player

Intracordal Cyst

Cysts are fluid-filled, sessile (blister-like) growths that can be present congenitally (from birth) or be acquired later in life. Unlike some of the other vocal pathologies, there are no clear factors that are documented to cause cysts. These little sacs may occur anywhere in the membranous portion of the true vocal fold, in the laryngeal ventricle, or in the ventricular folds. Vocal fold cysts are usually the result of a blocked mucosa gland duct, similar to a sty you would get in your eye. They appear as a whitish oval form, sometimes transparent. Although cysts usually occur unilaterally (on one side), bilateral (both sides) cysts may be present. If the cyst occurs in such a place on the vocal folds that it irritates the opposite vocal fold, the resultant tissue changes may give the erroneous appearance of two lesions. It sometimes occurs that a vocal fold cyst on one side may be easily misdiagnosed as bilateral vocal fold nodules.

Cysts create a very stiff a dynamic (non-vibrating) segment that is visible during stroboscopic imaging. Stroboscopic observation of vocal fold vibration is often very helpful to detect the increase in mass and stiffness of the vocal fold cover to differentiate cysts from nodules. The cyst size and severity will influence how much a person’s voice is affected, from mild to moderate dysphonias to near-aphonia in the case of large cysts. Because of the predominant stiffness characteristics posed by these lesions, even a very small cyst may have a significant negative effect on the singing voice. Cysts do not respond to behavioral voice therapy. The typical treatment is surgical removal with post-operative rehabilitative voice therapy to assist in recovery.

ProVoice is now on Twitter & Facebook

Follow us on Twitter at @ProVoiceCenter and like us at Facebook.com/ProVoiceCincinnati to stay updated on our vocal health tips, news, and links to helpful resources.  

 

About Our Team

Meet the ProVoice Voice Care Team by accessing each of our bios and CV’s. We know that you have choices when it comes to health care and we take pride in providing each patient the best experience from your initial contact to discharge visit. With over 45 years of combined clinical voice experience Dr. LeBorgne, Dr. Gorman, and Erin Donahue have the knowledge, skills, and state-of-the-art equipment to meet all voice and swallowing needs. We look forward to addressing your voice concerns and getting you vocally healthy!

read more

Contact Us

2123 Auburn Ave, Suite 208
Cincinnati, Ohio 45219

tel
(513) 632-5805
fax
(513) 632-5804
email
info@provoicecenter.com

© 2012 - The ProVoice Center of Cincinnati

Website Designed and Maintained by Advia Internet