title: [The diagnostic role of direct microlaryngoscopy].
abstract: Sulcus vocalis, vergetures, mucosal bridges, and cysts as intracordal lesions constitute a group of great diagnostic difficulty. We present 6 patients in whom microlaryngoscopy was the final diagnostic step in the evaluation of a lesion not recognized in the initial evaluation. The criteria selected were as follows: Severe GRABS. Stroboscopic parameters: glottal chink without mass lesion, asymmetry of amplitude, and irregularity of vibration, or when discrepancy between examination and quality of the voice exists. Acoustic and aerodynamic measures that demonstrate severe dysphonia. High scores on the Voice Handicap Index. We recommend carrying out a diagnostic microlaryngoscopy examination where the cause of dysphonia is unclear.
authors.affiliation: Sevicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España. fnunezb@telefonica.net
authors.forename: Faustino
authors.initials: F
authors.lastname: Núñez-Batalla
authors.forename: Blanca
authors.initials: B
authors.lastname: Señaris-González
authors.forename: Paz
authors.initials: P
authors.lastname: Corte-Santos
authors.forename: María Agustina
authors.initials: MA
authors.lastname: Sevilla-García
authors.forename: Andrés
authors.initials: A
authors.lastname: Coca-Pelaz
authors.forename: Rogelio
authors.initials: R
authors.lastname: Charlone-Granucci
authors.forename: Carlos
authors.initials: C
authors.lastname: Suárez-Nieto
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000295:instrumentation*; D011182:Postoperative Care; D011300:Preoperative Care; D013018:Sound Spectrography; D014827:Vocal Cords / Q000503:physiopathology; D014832:Voice Disorders / Q000175:diagnosis*