Image Based Question – 73332

Identify the lesion of vocal cord in the image given below:

A. Reinke’s edema

B. Laryngeal Papilloma

C. Malignancy

D. Tracheomalacia

Correct Answer » B Explanation

Answer B. Laryngeal Papilloma

• Papillomas are benign epithelial tumors that are caused by infection with the human papilloma virus (HPV).
• They are the most common benign neoplasms affecting the larynx and upper respiratory tract
• The figure below on the left displays a fiberoptic image of a normal larynx.
• The image on the right displays an image of a laryngeal papilloma. The image is reversed because the patient is on his back at the time of endoscopic surgery.
• There is a papilloma on the anterior aspect of the left true vocal fold.
• If the papilloma is not removed carefully the vocal fold may scar and vocal change may occur.