Ulcerative laryngitis (1 of 4)
Ulcerated area, free margin of both vocal cords. When diagnosed at this early stage, the patient is notified that recovery will likely require as much as six weeks.
Ulcerative laryngitis (2 of 4)
Same view, but using narrow band illumination to accentuate the ulcers.
1 month later: ulcerative laryngitis healing (3 of 4)
One month later, under narrow band illumination. Ulceration dramatically diminished.
3 months later: ulcerative laryngitis virtually all healed (4 of 4)
At three months, standard illumination. Virtually complete healing, with excellent return of voice. The prominent vascularity at area of ulcer will eventually fade.
Vocal cord ulcer (1 of 2)
In a patient who had had hoarseness lasting several months, this inflammatory lesion of the right vocal cord (left of image) was identified. There is hazy leukoplakia surrounding a central intensely erythematous ulcer. It most resembles an aphthous ulcer, though these are not previously reported on the vocal cord, and this lesion's duration is longer than the typical aphthous ulcer.
Vocal cord ulcer (2 of 2)
Closer view, under narrow-band light. The vessel pattern looks inflammatory and not neoplastic. There is heaped-up leukoplakia surrounding the lesion. After this lesion persisted for more than four months, it was removed. Tissue examination showed inflammatory response and keratosis without atypia.