Vocal cord dysplasia is a condition in which the cells of the vocal cord undergo changes and become abnormal. These abnormalities are known as “atypia” or “dysplasia”. While atypia and dysplasia are not cancer, if left untreated they can turn into a vocal cord cancer. Dysplasia of the vocal cord can appear as:
Keratosis – keratin, or skin like changes on the vocal cord.
Vocal cord dysplasia often prevents the vocal cords from vibrating normally, causing hoarseness.
Causes of Vocal Fold Dysplasia:
Smoking has been shown to cause dysplasia. The human papilloma virus (HPV) can cause dysplasia as well. However, many individuals with dysplasia have no identifiable cause.
Diagnosis of Vocal Fold Dysplasia:
A suspicious lesion is noted during stroboscopy. A portion of the vocal fold, or the entire vocal fold, is the only way to diagnose dysplasia is to perform a biopsy. A doctor cannot diagnose dysplasia by “looking” at the vocal fold. A biopsy is performed in the operating room during laryngoscopy.
Treatment of Vocal Fold Dysplasia
The goal of dysplasia treatment is to prevent cancer while maintaining an excellent voice. This can be a very challenging task – if one simply removes all of the abnormal tissue, not only can the lesion recur easily, the patient can be left with a hoarse voice.
Proper treatment first involves a delicate biopsy in the operating room. A representative sample of the lesion is removed, ideally from an area of the vocal fold that is not critical for voice use. A KTP laser is then used to delicately treat, or ablate, the diseased tissue.
Patients are closely followed in the office with repeat stroboscopy after the procedure as dysplasia can redevelop. If a suspicious lesion develops, and office based laser treatment may be performed. This is a fifteen to twenty minute procedure performed in the office in which a small camera is placed in the nose and a KTP laser is used to ablate the lesion. This is performed using only topical anesthetic and patients go home the same day of treatment.
Throatdisorder.com is an online resource for patients and physicians to learn more about common voice, swallowing, breathing and throat disorders. Throat complaints, from cough to cancer, are a common reason for patients to seek medical treatment. This website developed as a result of Dr. Sunil Verma's passions: that of education, patient care, and interest in technology.
Orange Location 101 The City Drive South, Pavilion II Orange, CA 92868
Didn’t feel care for left the office feeling discouraged, dr didn’t seem interested in finding out why I’m having my symptoms. From his opinion I’m fine. When a doctor wants to really help they’ll try all test possible to find the problem, instead he said I need to see a pain specialist and I left.
I couldn’t ask for a better experience with a Doctor and staff. Dr. Verma put me at ease and walked me through the Vocal fold injection process. He made it an easy experience and he was always informative and willing to answer questions. I felt heard and never rushed.
Dr. Verma is awesome. He takes the time to answer any questions or concerns you may have without making you feel rushed. He’s very skilled at what he does, and his staff is very friendly. I highly recommend him!!
Dr. Verma was warm, kind, spent adequate time, seemed incredibly knowledgeable. Despite not knowing exactly what I'm experiencing, he was confident in a course of action. His staff was very nice as well.
All the Dr's, Nurse's & Staffs of the UCI are amazing!! They are very polite, loving, kind, and all around great Team!! Special thanks to Doctor Verma for all the work that you're done for my dad. Our family sincerely appreciate all of you very much!!
Dr. Verma and his staff were totally professional. I came in from Palm Springs and it truly was worth the ride. I have what’s called a ZINKER. He had to put a tube down my nose to examine me. I didn’t feel a thing.Forgot to mention I’m a big baby. All in all it was a very good experience. Thank you Dr. Verma