[Varices of the vocal cord: report of 21 cases].
OBJECTIVE
To study the diagnosis and treatment of varices of the vocal cord.


METHODS
The clinical data of 21 cases with varix of vocal cord were analyzed. All the patients presented hoarseness. There were 15 female and 6 male cases with their ages ranged from 23 to 68 years (median 44 years old). The varix was found on the right vocal cord in 12 cases, on the left vocal cord in 9 cases. Isolated varix existed on the vocal cord in 10 cases, varix with vocal cord polyps or nodules in 10 cases, varix with vocal cord paralysis in 1 case.


RESULTS
All the patients were diagnosed under the laryngovideoscopy. The lesions appeared on the superior surface of the vocal cord. Varices manifested as abnormally dilated capillary running in the anterior to posterior direction in 6 cases, as clusters of capillary in 3 cases, as a dot or small sheet or short line of capillary in 12 cases. The varices were disappeared in 2 of 8 cases with vocal cord varices and polyps after removed the polyps. The varices of others patients had no change after following up for more than 6 months, but one patient happened hemorrhage of the contralateral vocal cord.


CONCLUSIONS
Varices are most commonly seen in female. Laryngovideoscopy is the key in determining the vocal fold varices. Management of patients with a varix includes medical therapy, speech therapy, and occasionally surgical vaporization.
Li
Jin-rang
JR
Department of Otorhinolaryngology Head and Neck Surgery, Navy General Hospital, Beijing, China.
Sun
Jian-jun
JJ
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D014648:Varicose Veins / Q000175:diagnosis* / Q000628:therapy*; D014827:Vocal Cords / Q000098:blood supply / Q000473:pathology*; D055815:Young Adult