The lesion may also be a benign neoplasm such as papilloma or leukoplakia that would not resolve with traditional treatment for nodules, polyps or cysts. Each of these lesions has a potentially different cause, but there are common factors that contribute to their development. Generally, benign vocal lesions occur in response to injury, but are also well known to have multiple causes. For example, excessive loudness and use in a teacher, or singing excessively with poor breath support in a singer Acute vocal misuse. For example, screaming at the football game, or an uncontrolled coughing spell during an upper respiratory infection.
Physical examination includes a complete head and neck exam by an otolaryngologist.
Mirror exam - a mirror is inserted to the back of the mouth, and the larynx is viewed with the use of a headlight. It provides good evaluation of mucosa color, but visualization is limited. The NPL is especially useful for particular laryngeal problems. This exam provides excellent view and color evaluation, and is typically painless for the patient. Cross section, close up view of a rigid endoscopy exam.