International Journal of Head and Neck Surgery

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VOLUME 7 , ISSUE 1 ( January-March, 2016 ) > List of Articles


Polyp within the Center of a Vocal Fold Sulcus: A Proposed Pathophysiologic Construct

Niv Mor, Juan C Hernandez-Prera, Christopher Tang, Andrew Blitzer

Citation Information : Mor N, Hernandez-Prera JC, Tang C, Blitzer A. Polyp within the Center of a Vocal Fold Sulcus: A Proposed Pathophysiologic Construct. Int J Head Neck Surg 2016; 7 (1):47-50.

DOI: 10.5005/jp-journals-10001-1263

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2016; The Author(s).



We noted unusual cases of vocal fold polyps originating from the center of vocal sulci and propose a possible etiology for the development of these lesions.

Materials and methods

Three patients presented to our office with acute onset dysphonia. Intraoperative examination revealed vocal polyps originating from the center of vocal sulci. Lesions were treated with microflap excisions and were sent for histopathologic analysis.


Pathology of the excised lesions showed a parakeratotic squamous epithelium with mild inflammation and with dilated vascularity suggesting an acute or subacute process. Patients had voice improvement without recurrence of the vocal-polyp or sulcus following surgical excision.


We speculate that the observed lesions result from phonotrauma to congenital sulci and propose that partial prolapse of the epithelium is responsible for the formation of the observed vocal polyps.

How to cite this article

Mor N, Hernandez-Prera JC, Tang C, Blitzer A. Polyp within the Center of a Vocal Fold Sulcus: A Proposed Pathophysiologic Construct. Int J Head Neck Surg 2016;7(1):47-50.

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