Vocal processes, accentuated by vocal cord atrophy (1 of 4)
The vocal processes in this patient are extremely visible because the rest of the vocal cord on each side is atrophic and bowed.
Vocal processes, accentuated by vocal cord atrophy (2 of 4)
The vocal cords approach each other for voicing. Note the evident asymmetry between the vocal processes. The left vocal process (right of image) projects further anteriorly than does the opposite process. It is also at a higher (more cephalad) level.
Vocal processes, accentuated by vocal cord atrophy (3 of 4)
Phonation, closed phase of vibration, under strobe lighting. Note the overlap (scissoring) of the left vocal process (right of image) on top of the other process.