Benign Vocal Fold Lesions - Principles of Management - Dinesh K. Chhetri, MD - UCLA Health

Explore the principles of managing benign vocal fold lesions in this informative lecture by Dr. Dinesh K. Chhetri, a laryngologist and Professor at UCLA's Department of Head and Neck Surgery. Delve into the anatomy and histology of vocal folds, focusing on common benign growths of the larynx. Learn about the body cover layer model, biomechanical aspects of vocal fold vibration, and the crucial role of the lamina propria. Discover various vocal fold lesions, including nodules, polyps, cysts, fibrous masses, granulomas, and papillomas. Gain insights into phonosurgery principles and microflap surgery techniques for treating these conditions. Understand the pathophysiology of vocal cord cysts and explore treatment options for different vocal fold lesions, including vocal process granulomas and papillomas.

Syllabus

Intro
Focus on Common Benign Growths of The Larynx
Endoscopic View of Larynx and Vocal Folds
Phono trauma Leads to Mid-membranous Vocal Fold Lesions: e.g. Nodules
Body Cover Layer Model (Hirano 1974)
Biomechanical Anatomy of Vocal Fold Vibration
Lamina Propria Layer in Cover Layer is Thin and Irreplaceable
Special Histology of Vocal Folds: Lamina Propria & Extra-Cellular Matrix (ECM)
Lamina Propria Function
Maneuver to Saving Lamina Propria
Principles of Phonosurgery
Microflap Surgery Examples: Vocal pseudocyst, subepithelial mass, & cyst
Common Vocal Fold Lesions: Vocal Fold Nodules
Vocal Fold POLYPS
Vocal Fold CYSTS
Vocal Cord Cysts: Pathophysiology
Vocal Fold FIBROUS MASS
Vocal Granulomas
Vocal Process Granulomas - Rx
Vocal Papillomas and Treatment
Treatment of Papillomas