She has compensated with phonation or speaking with her false cords. Thus, she has a very rough and raspy voice instead of the breathy voice as is usually seen with vocal cord paralysis. This patient had a 55 pack year history of smoking. This video shows the function of a larynx with a large white plaque on the right true vocal cord. These plaques are sometimes often benign, but in this case the plaque is a verrucous cancer.
Surgical removal is the treatment of choice.
The High Quality Video is best downloaded using a cable modem or T1 line. Using T1 Lines. You may or may not be able to view MPEG video clips with your browser. Microsoft Explore with Windows 98 should be able to view MPEG Video. However, Netscape Navigator requires plug-ins for MPEG video playback.