Vocal Fold Leukoplakia and Hyperkeratosis

Abstract

■ Videostroboscopy is an important component of the preoperative evaluation of vocal fold leukoplakia.

■ Loss of mucosal wave can be seen with invasive forms of leukoplakia, while noninvasive forms tend to have preservation of vibratory characteristics.

■ Subepithelial infusion is a very helpful adjunct in the surgical armamentarium, as it reduces intraoperative bleeding and lifts the diseased epithelium away from the vocal ligament, thus protecting it.

■ Complete excision of the area of leukoplakia should be checked by redraping the flap during the final excisional step.

■ Pinning and orienting the epithelial specimen can be very helpful in guiding any additional therapy.