Merck Manual

Please confirm that you are a health care professional

honeypot link

Overview of Laryngeal Disorders

By

Clarence T. Sasaki

, MD, Yale University School of Medicine

Last full review/revision Jul 2020| Content last modified Jul 2020
Click here for Patient Education
Topic Resources

The larynx contains the vocal cords and serves as the opening to the tracheobronchial tree. Laryngeal disorders include

Most laryngeal disorders cause dysphonia, which is impairment of the voice. A persistent change in the voice (eg, > 3 weeks) requires visualization of the vocal cords, including their mobility. Although the voice changes with advancing age, becoming breathy and aperiodic, acute or prominent changes in the elderly should not be presumed to result from aging, and evaluation is required.

The examiner should take precautions to prevent COVID-19 COVID-19 Coronaviruses are enveloped RNA viruses that cause respiratory illnesses of varying severity from the common cold to fatal pneumonia. Numerous coronaviruses, first discovered in domestic poultry... read more and other infectious diseases as appropriate. The voice should be assessed and recorded, particularly if surgical procedures are planned. Examination of the larynx includes external inspection and palpation of the neck and internal visualization of the epiglottis, false cords, true cords, arytenoids, pyriform sinuses, and subglottic region below the cords. Internal visualization is accomplished by either indirect mirror examination (see figure Laryngeal disorders Laryngeal disorders The larynx contains the vocal cords and serves as the opening to the tracheobronchial tree. Laryngeal disorders include Benign laryngeal tumors Contact ulcers Laryngitis Laryngoceles read more ) or direct flexible fiberoptic laryngoscopy in an outpatient setting with a topical anesthetic. Rigid laryngoscopy with the patient under general anesthesia provides the most thorough examination of the vocal cords, allowing

  • Visualization of the undersurfaces

  • Assessment of passive mobility when immobilized by either paralysis or fixation

  • Biopsy

Laryngeal disorders

When relaxed, the vocal cords normally form a V-shaped opening that allows air to pass freely through to the trachea. The cords open during inspiration and close during swallowing or speech. When a mirror is held in the back of a patient’s mouth, the vocal cords can often be seen and checked for disorders, such as contact ulcers, polyps, nodules, paralysis, and cancer. Paralysis may affect one (unilateral) or both vocal cords (bilateral—not shown).

Laryngeal disorders
Click here for Patient Education
NOTE: This is the Professional Version. CONSUMERS: Click here for the Consumer Version
Professionals also read

Test your knowledge

Epiglottitis
In the pediatric patient, which of the following characteristics of epiglottitis best differentiates it from croup?  
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
 

Also of Interest

 
TOP