Epidermoid cyst (1 of 3)
Epidermoid cyst, right vocal cord. Note white submucosal mass predominately on upper surface of the cord, but with bilateral free margin elevation as well.
Epidermoid cyst, removed (3 of 3)
After submucosal dissection and removal of cyst. Free margin swelling remains, as one cannot straighten the free margin (remove redundant mucosa stretched over the cyst) at the same time as cyst removal.
Teacher with longstanding hoarseness (1 of 4)
Elementary school teacher with longstanding hoarseness, told that she had a “nodule” on one vocal cord .
Epidermoid cyst and polypoid nodule seen (2 of 4)
Closer inspection, under narrow band light, shows that she has an epidermoid cyst of the left cord (right of photo) and a polypoid nodule with what looks like a small sulcus (arrows) of the right cord (left of photo).
Six days post-surgery, voice improved (3 of 4)
Six days after vocal cord microsurgery to address both lesions seen in photo 2, voice is already dramatically improved. This is a distant view under standard light.
Expected early postsurgical swelling (4 of 4)
Also six days postop, at close range under strobe light. As the cords approach phonation position, note the expected very early postsurgical swelling of the right cord (left of photo), and linear incision (tiny dots) through which the cyst was removed from the left cord (right of photo). No later postoperative photos are available.
Capillary ectasia and white submucosal abnormality (1 of 3)
Left vocal cord (right of photo) has not only overlying capillary ectasia, but a white submucosal abnormality.
Open cyst (3 of 3)
Closer view. While an intact epidermoid cyst has a distinct outline, an open cyst develops a more mottled appearance. It may leak intermittently from a tiny dimple or sulcus which is sometimes seen at very close range.