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Sulcus Vocalis and Benign Vocal Cord Lesions: Is There Any Relationship?

Author

Listed:
  • Carmelo Saraniti

    (Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy)

  • Gaetano Patti

    (Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy)

  • Barbara Verro

    (Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy)

Abstract

Background: Sulcus vocalis (SV) is a longitudinal groove in the free edge of the true vocal cord. It may impair phonation with incomplete glottic closure, phonasthenia and hoarseness. This study aims to detect a correlation between benign vocal cord lesions and the incidence of the SV. Methods: A retrospective study was carried out on patients who underwent transoral surgery due to benign vocal fold lesions and were selected according to strict criteria. Patients were divided into a group with sulcus vocalis (Group wSV) and a group without sulcus vocalis (Group w/oSV). The possible correlations between variables were assessed by the Pearson chi-square test ( p < 0.05). Results: The study included 232 vocal cord lesions in 229 patients: 62.88% were females whose mean age was 46.61 ± 14.04. The most frequent diseases were polyps (37.94%), nodules (18.53%) and Reinke’s edema (21.12%). Statistically significant relationships were found between age and SV ( p -value 0.0005) and between mild dysplasia and SV ( p -value 0.03). Conclusions: This study did not detect a cause–effect relationship between SV and benign vocal fold lesions. SV within vocal fold lesions is more common in younger patients, suggesting a congenital nature of SV. In conclusion, in the case of a benign vocal fold lesion, a possible SV should be considered and researched to provide the patient the best healthcare.

Suggested Citation

  • Carmelo Saraniti & Gaetano Patti & Barbara Verro, 2023. "Sulcus Vocalis and Benign Vocal Cord Lesions: Is There Any Relationship?," IJERPH, MDPI, vol. 20(9), pages 1-10, April.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:9:p:5654-:d:1133805
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    References listed on IDEAS

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    1. Carmelo Saraniti & Salvatore Gallina & Barbara Verro, 2022. "NBI and Laryngeal Papillomatosis: A Diagnostic Challenge: A Systematic Review," IJERPH, MDPI, vol. 19(14), pages 1-7, July.
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