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  Vol. 133 No. 1, January 2007 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Problem Solving: Pathology
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 •Laryngology/ Speech/ Language Pathology
 •Neoplasms of Head & Neck
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Pathology Quiz Case 1

Grace Leu, MD; Adam M. Klein, MD; Andrea T. Deyrup, MD, PhD; Michael M. Johns III, MD
Emory University, Atlanta, Ga

Arch Otolaryngol Head Neck Surg. 2007;133(1):94.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 53-year-old man presented with a 2-year history of persistent hoarseness. His voice had become moderately raspy, with intermittent pitch breaks, and he noted increased vocal effort and fatigue and decreased vocal endurance. He had previously received a diagnosis of laryngopharygeal reflux and had been taking omeprazole (Prilosec) daily, without improvement. He also had cervical dystonia. He had no history of tobacco or alcohol use.

Physical examination via indirect laryngoscopy suggested a mass on the right true vocal fold. Laryngeal videostroboscopy revealed a spheroid, submucosal mass within the medial aspect of the anterior third of the right true vocal fold, which impaired glottal closure and regular vocal fold vibrations. The mass effect of the lesion resulted in a differential pliability within the right true vocal fold and between the 2 vocal folds. Vocal . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(1):96.
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