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Superficial lamina propria (Reinke's space) Intermediate lamina propria; Deep lamina propria; Vocalis muscle; In order for humans to produce sound for speech, the vocal folds must readily vibrate. The two layers of the vocal cords that vibrate are the Reinke's space and the overlying epithelium. In fact, these layers move freely over the more ...
Ligament vocal fold cysts- located within the deeper layers of the lamina propria or on the vocal ligament. [1] The symptoms of vocal fold cysts vary but most commonly include a hoarse voice and problems with the pitch of the voice. Vocal fold cysts are diagnosed based on gathering a case history, perceptual examination, and laryngeal imaging. [3]
In females during puberty, the vocal muscle thickens slightly, but remains very supple and narrow. The squamous mucosa also differentiates into three distinct layers (the lamina propria) on the free edge of the vocal folds. The sub- and supraglottic glandular mucosa becomes hormone-dependent to estrogens and progesterone.
These fibers run roughly parallel to the vocal fold edge and these two layers of the lamina propria comprise the vocal ligament. The transition layer is primarily structural, giving the vocal fold support as well as providing adhesion between the mucosa, or cover, and the body, the thyroarytenoid muscle.
Vocal cord hemorrhage occurs when a blood vessel in the vocal cords ruptures, which results in leakage of blood into the superficial lamina propria and dysphonia (hoarseness). The rupture usually results from overly forceful or incorrect vocalization, and may be a one-time occurrence or occur repeatedly.
The lamina propria is a thin layer of loose (areolar) connective tissue, which lies beneath the epithelium, and together with the epithelium and basement membrane constitutes the mucosa. As its Latin name indicates, it is a characteristic component of the mucosa, or the mucosa's "own special layer."
Treatment of vocal fold nodules usually involves behavioural intervention therapy administered by a speech–language pathologist. In severe cases, surgery to remove the lesions is recommended for best prognosis. [8] [9] In children, vocal fold nodules are more common in males; in adults, they are more common in females. [10] [5]
Endoscopic laser cordectomy, also known as Kashima operation, [1] is an endoscopic laser surgical procedure performed for treating the respiratory difficulty caused as a result of bilateral abductor vocal fold paralysis. Bilateral vocal fold paralysis is basically a result of abnormal nerve input to the laryngeal muscles, resulting in weak or ...