The Owner's Manual to the Voice by unknow

Author:unknow
Language: eng
Format: epub
Publisher: Oxford University Press, Incorporated
Published: 2013-08-15T00:00:00+00:00

10.12 LARYNGEAL CONTACT ULCERS

What is it?

• Laryngeal contact ulcers are unilateral or bilateral raw sores (ulcerated tissue) that form on the inner surface of the mucosa that covers the cartilaginous portion of the folds (a.k.a. the vocal process). (See Figure 10.12.) Some believe contact ulcers are a distinct disorder, but most physicians feel they are early-stage granulomas and that over time contact ulcers will enlarge and become granulomas.

How can you tell if you have it?

• Audibly: Possible hoarseness if contact ulcers are large enough. Frequently these lesions do not cause any audible voice symptoms because they typically appear on the vocal process (nonvibrating posterior portion of the vocal folds).

• Visually: Indentations or ulcerations appear on the posterior aspect of the vocal folds along the vocal processes of the arytenoids.

• Production variants: Incessant need to clear throat due to a lump feeling, morning hoarseness, vocal fatigue, and voice weakening with use. Like granulomas, contact ulcers are one of the few voice disorders that can cause pain at the vocal fold level.

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