International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 5 , ISSUE 2 ( July-December, 2015 ) > List of Articles


Diagnostic Challenge of Sulcus Vocalis Made Easier

Harsh Karan Gupta, Ajay Eknath Shedge

Citation Information : Gupta HK, Shedge AE. Diagnostic Challenge of Sulcus Vocalis Made Easier. Int J Phonosurg Laryngol 2015; 5 (2):39-41.

DOI: 10.5005/jp-journals-10023-1102

Published Online: 01-12-2011

Copyright Statement:  Copyright © 2015; The Author(s).



To introduce a simple diagnostic test performed with white light laryngoscopy for the diagnosis of sulcus vocalis.

Materials and methods

This is a retrospective observational study. A total of 14 patients with voice-related complaints and a phonatory gap on examination were included. Obvious structural and neuromuscular glottic pathologies were excluded. Phonatory gap was measured using white light rigid laryngoscopy with the technique described here. Findings were then correlated with stroboscopy.


All 14 patients (10 U/L and 4 B/L), observed to have an asymmetric phonatory gap on white light rigid laryngoscopy, were diagnosed with sulcus vocalis.


An asymmetric phonatory gap, as seen on white light laryngoscopy and measured with the simple technique mentioned here, should make the laryngologist suspect a sulcus vocalis. However, the diagnosis needs to be confirmed by stroboscopy.

How to cite this article

Nerurkar NK, Gupta HK, Shedge AE. Diagnostic Challenge of Sulcus Vocalis Made Easier. Int J Phonosurg Laryngol 2015;5(2):39-41.

PDF Share
  1. Surgical management of sulcus vocalis and vocal fold scarring. Otolaryngol Clin North Am 2006 Feb;39(1):23-42.
  2. Sulcus vocalis: a rational analytical approach to diagnosis and management. Ann Otol Rhinol Laryngol 1996 Mar;105(3):189-200.
  3. Vocal fold scarring: current concepts and management. Otolaryngol Head Neck Surg 1996 Nov;115(5):474-482.
  4. Sulcus vocalis: functional aspects. Ann Otol Rhinol Laryngol 1990 Sep;99 (9 Pt 1):679-683.
  5. Current understanding and review of the literature: vocal fold scarring. J Voice 2006 Mar;20(1):110-120.
  6. Vocal fold furrows: a 10-year review of 240 patients. Auris Nasus Larynx 1983;10(Suppl):S17-S26.
  7. Histopathological characteristics of sulcus vocalis. Otolaryngol Head Neck Surg 2011 Aug;145(2):264-269.
  8. Clinical characteristics of vocal polyps with underlying sulcus vocalis. J Voice 2013 Sep;27(5):632-635.
  9. Consistency of the preoperative and intraoperative diagnosis of benign vocal fold lesions. J Voice 2003 Sep;17(3):425-433.
  10. The evaluation of benign glottic lesions: rigid telescopic stroboscopy versus suspension microlaryngoscopy. J Voice 2007 Jan;21(1):112-118.
  11. Spindle-shaped glottal insufficiency with and without sulcus vocalis: a retrospective study. Ann Otol Rhinol Laryngol 1994 Jul;103(7):547-553.
  12. Dysphonia in the aging: physiology versus disease. Laryngoscope 1992 Feb;102(2):139-144.
  13. Influence of size and etiology of glottal gap in glottic incompetence dysphonia. Laryngoscope 1998 Apr;108(4 Pt 1):514-518.
  14. Quantitative videostroboscopic measurement of glottal gap and vocal function: an analysis of thyroplasty type I. Ann Otol Rhinol Laryngol 1996 Apr;105(4):280-285.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.