Our Summary
The research paper discusses a very rare type of tumor called hemangioma, which is found in blood vessels. These tumors are most commonly seen in the head and neck region and are quite rare in the larynx (voice box). This paper focuses on two cases where these tumors were found on the vocal cords. This is an extremely rare occurrence.
One patient had a large bluish-purple mass on their right vocal cord. The other had a large, smooth, flesh-colored mass protruding from their left vocal cord. Both patients had severe voice changes, a common symptom of this condition.
The patients underwent a specialized surgery using a carbon dioxide (CO2) laser. This type of surgery is performed with a small tube inserted through the mouth to reach the larynx. Two months after the surgery, both patients reported significant improvements in their voices.
The authors of the paper point out that these types of tumors can sometimes be confused with other vascular lesions (abnormal clusters of blood vessels), which can occur as a result of vocal cord damage from things like excessive voice use, surgery, or other trauma.
They conclude that this kind of tumor doesn’t need treatment unless it’s causing symptoms or spreading. They also note that there’s no universally accepted treatment for hemangiomas in the head and neck, but the surgical method they used in these cases had satisfactory results.
FAQs
- What is a hemangioma and where is it most commonly found?
- What symptoms do patients with hemangiomas on the vocal cords typically experience?
- What type of surgery is used to treat hemangiomas on the vocal cords and what are the results?
Doctor’s Tip
A helpful tip a doctor might give to a patient undergoing vocal cord surgery is to follow post-operative care instructions carefully. This may include voice rest, avoiding speaking loudly or for long periods of time, and avoiding irritants such as smoke or strong fumes. It’s important to give your vocal cords time to heal properly in order to achieve the best outcome from the surgery. Additionally, attending follow-up appointments with your doctor to monitor your progress and address any concerns is crucial for a successful recovery.
Suitable For
In general, patients who are recommended vocal cord surgery are those with conditions such as vocal cord nodules, polyps, cysts, tumors, or other lesions that are affecting their voice quality and function. These conditions can be caused by a variety of factors such as vocal strain, smoking, acid reflux, infections, or other medical conditions.
Typically, patients who have persistent hoarseness, voice changes, difficulty speaking or swallowing, or other vocal cord-related symptoms that do not improve with conservative treatments such as voice therapy or medication may be recommended for vocal cord surgery.
It is important for patients to undergo a thorough evaluation by an otolaryngologist (ENT) or a voice specialist to determine the underlying cause of their vocal cord issues and to discuss the potential benefits and risks of surgery. The decision to undergo vocal cord surgery should be made in consultation with a healthcare provider who specializes in voice disorders and can provide personalized recommendations based on the individual patient’s needs and circumstances.
Timeline
In summary, before vocal cord surgery, patients may experience symptoms such as voice changes and the presence of a mass on the vocal cords. After surgery, patients may experience improvements in their voice and a reduction in symptoms. The recovery process typically involves a period of rest and voice therapy to help the vocal cords heal properly. Follow-up appointments with the surgeon may also be necessary to monitor the patient’s progress and ensure proper healing.
What to Ask Your Doctor
Some questions a patient should ask their doctor about vocal cord surgery for a hemangioma may include:
- What are the potential risks and complications associated with vocal cord surgery for a hemangioma?
- What is the success rate of this type of surgery for treating vocal cord hemangiomas?
- How long is the recovery period after vocal cord surgery for a hemangioma?
- Will I need speech therapy after the surgery to regain my voice?
- Are there any alternative treatment options for vocal cord hemangiomas?
- How likely is it that the hemangioma will return after surgery?
- Will I need follow-up appointments or ongoing monitoring after the surgery?
- Are there any lifestyle changes or precautions I should take to prevent recurrence of the hemangioma?
- How experienced is the surgical team in performing this type of surgery?
- Can you provide me with more information about the specific surgical technique that will be used for my vocal cord hemangioma?
Reference
Authors: Mesolella M, Allosso S, Mansueto G, Fuggi M, Motta G. Journal: Ear Nose Throat J. 2022 Jun;101(5):326-331. doi: 10.1177/0145561320952191. Epub 2020 Sep 13. PMID: 32921178