Leukoplakia (leuko = white; plakia = plaque) is a white patch found on the mucosa anywhere in the body. In the larynx, it is most often seen on the vocal cords, either in long-time smokers or in individuals with some other cause of chronic inflammation, such as (controversially) acid reflux. It is the visually descriptive term for what, on biopsy, may prove to be keratosis, carcinoma in situ, or carcinoma. Unfortunately, leukoplakia is a stubborn and frustrating problem in laryngology, with a tendency to recur after removal.
Cake Icing and Spilled Milk Leukoplakia after Covid in a Former Smoker
This is a person who had smoked ½ pack per day for a little over a decade but stopped nearly 15 years ago. Voice was always normal until Covid-19 infection (despite vaccination). Laryngitis occurred during that illness and never resolved across six months to the time of this examination. He is hoarse but voice is functional for basic communication. After supportive (acid reflux, etc.) treatments failed to resolve these lesions, microlaryngoscopy with meticulous “basement membrane” peeling of these lesions will follow.
More examples of Leukoplakia
Leukoplakia, Before and After Surgical Removal
Leukoplakia Battled Over Time
Leukoplakia, Before, During, and After Laser Coagulation
Vocal Nodules, Leukoplakia, and Capillary Ectasia
Glottic Furrow / Leukoplakia / Acid Reflux
Thulium Laser Surgery, With Local Anesthetic Injection, to Treat Leukoplakia
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