Photo Gallery of Throat Disorders
Biopsy of Epiglottis
Biopsy of lesion involving the petiole (low laryngeal surface of epiglottis). The pathology report revealed squamous cell carcinoma, usually caused by smoking (Lab).
Candida infection of the vocal folds, often caused by inhalation of aerosolized steroid for asthma. Usually seen with higher strengths of medication and frequent dosing; also more likely if antibiotics used at same time (Lab). This can look like mucus accumulation, but does not move or clear away even with aggressive throat-clearing.
Same patient, as vocal folds begin to come together for phonation, showing right fold fitting into the groove between the two lobes of the granuloma (Lab).
Right epidermoid cyst during breathing (Lab). Note whitish sphere not as prominent due to thicker overlying mucosa, vascularity and mucus, suggesting concurrent acid reflux.
Same patient, during phonation, showing mismatch. In addition, right side very stiff and non-vibratile (Lab).
Glottic furrow (vergeture), breathing vocal fold position, resembling a furrow in a recently-plowed field (Lab).
Same patient during phonation. Such patients may have a lot of bowing as a concomitant finding, but the two edges of the furrow are seen on each fold, at arrows (Lab).
Large glottic web comprising most of the vocal folds, after removal of large smoker’s polyps and surgeon-directed voice rest 21 days (Lab).
Vocal Fold Hemorrhage, Nodules
Diffuse resolving hemorrhage (bruise) right vocal fold and bilateral moderate nodular swellings. White material is mucus that goes away with throat clearing—suggesting acid reflux (Lab).
Large hemorrhagic polyp right fold, with large polypoid nodule and vascularity, left fold, during breathing (Lab).
Same patient during phonation, showing now faint bruise anterior part of left-sided lesion (Lab).
Intubation injury at posterior commissure. Note that the posterior portion of each fold has a divot or “cookie bite” where the breathing tube created pressure necrosis (Lab).
Mucus Retention Cyst
Small mucus retention cyst and capillary ectasia, left vocal fold. Note yellowish color and origin from just below free margin, as well as normal right vocal fold (Lab).