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VOLUME 13 , ISSUE 1 ( January-June, 2023 ) > List of Articles
Nupur K Nerurkar, Gati K Shah, Achala Kamath
Keywords : Granulomatous inflammation, Infraglottis, Laryngeal amyloidosis, Laryngeal cancer, Laryngopharyngeal reflux, Pseudosulcus, Subepithelial bulge
Citation Information : Nerurkar N K, Shah GK, Kamath A. The Three Vocal Fold Sign in Laryngology. Int J Phonosurg Laryngol 2023; 13 (1):14-15.
License: CC BY-NC 4.0
Published Online: 30-06-2023
Copyright Statement: Copyright © 2023; The Author(s).
We are proposing a sign called, “three vocal fold sign” seen on laryngoscopy, which intends to help with the diagnosis of a few clinically challenging conditions like amyloidosis and other granulomatous conditions, laryngopharyngeal reflux, and laryngeal malignancy. This sign is defined as a uniform subepithelial bulge of the undersurface of the vocal folds. This bulge gives an impression of a third vocal fold, the first being the false vocal fold followed by the true vocal fold. A suspicion of amyloidosis or malignancy based on the proposed sign seen on laryngoscopy warrants a contrast-enhanced computed tomography (CT) scan. Any enhancement in the infraglottic region would suggest a possibility of a lesion warranting histopathological confirmation.