Preoperative laryngoscope images. Click here to compare these images directly with the postop images. Video stroboscopy shows very assymmetrical vocal fold motion with false fold involvement on the onset of phonation. The right fold has a relatively normal appearance, with some mucosal wave. The left fold is completely oedematous, and has a very polypoid appearance.
Closure is incomplete during the phonation cycle.
Preoperative Strobed Video recording. Note abnormal motion of both folds. The patient was placed under general anaesthetic and intubated with a laser-resistant endotracheal tube. The oedematous lesion of the left fold was found under microscopic investigation to have some overlying epithelial changes with leukoplakia, and was slightly firm to palpation. The right fold seemed normal with a small reaction-type nodule forming opposite the left vocal fold lesion.