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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 26(1); 1983 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1983;26(1): 80-7.
The Clinical Analysis of Sulcus Vocalis
Kwang Moon Kim, MD, Jang Su Suh, MD, Hae Kyoung Oh, MD, Hong Sik Choi, MD, and Gill Ryoung Kim, MD
Department of Otolaryngology, Yonsei University College of Medicine, Seoul, Korea
聲帶溝症에 關한 臨床的 考察
김광문 · 서장수 · 오혜경 · 최홍식 · 김기령
연세대학교 의과대학 이비인후과학교실
ABSTRACT

The advancement in phonosurgery due to recent development of laryngomicrosurgery enabled more accurate diagnosis and treatment of patient with voice disorders. Among large proportion of voice disordered patients, prominent linear furrow running parallel along the free edge of vocal cord extending from the vocal process to anterior commissure can be seen as well as incomplete closure during phonation. These cases were illustrated and coined as sulcus vocalis by Salviin 1901, since then other similar paper was reported in Europe and Japan, but has not been reported in Korea. The exact etiology and therapeutic methods of sulcus vocalis have not been elaborated. At Department of Otolaryngology of Yonsei University College of Medicine a series of voice analysis were performed among those 35 patients with sulcus vocalis visited to Vocal Dynamics Laboratory from May, 1981 to March, 1982. Following is the result of clinical statistical investigation and therapeutic modality. 1) The incidance of sulcus vocalis among 290 patients with voice disorder visited to Vocal Dynamics Laboratory was approximately 12% (35 cases). 2) Onset of this voice disorder was most frequent among patient under 10-year-old groups ; 19 cases (54%) followed by second decade, third decade groups in decreasing frequency respectably. 3) The etiology of sulcus vocalis was mostly unknown. The sequelae after measle (4 cases) and severe upper respiratory infection (3 cases) and congenital deformity (2 cases) were the possible causes of sulcus vocalis. 4) These patients were involved bilaterally in 25 cases (71%), left side only in 8 cases (23%) and right side only in 2 cases (6%). 5) Almost all patients complained hoarseness and 7 patients were suffering from chronic laryngitis. 6) In aerodynamic analysis, Maximal Phonation Time was decreased in 20 cases (57%), Phonation Quotient was increased in 22 cases (63%) and Mean Air Flow Rate was increased in 23 cases (66%). 7) Among them, 33 cases were analyzed with stroboscopy. The findings were as follows ; incomplete glottic closure during phonation in 31 cases (93%), regular vocal cord movement in whole cases, asymmetric cord movement in 4 cases (12%), decreased amplitude in 5 cases (21%) and small mucosal wave in 24 cases (73%). 8) Intracordal Teflon injection in 5 cases and Sulcusectomy in 1 case were performed as therapeutic management, however, the therapeutic results were not effective except one case with Teflon injection.

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