Atlas of Laryngoscopy

Robert Sataloff, M.D. Robert T. Sataloff, M.D., D.M.A., F.A.C.S., is a Professor and Chairman, Department of Otolaryngology- Head and Neck Surgery and Senior Dean for Clinical Academic Specialties, Drexel University College of Medicine. He is also Adjunct Professor in the departments of Otolaryngology - Head and Neck Surgery at Thomas Jefferson University, the University of Pennsylvania and Temple University, and on the faculty of the Academy of Vocal Arts. Mary Hawkshaw, B.S.N. Mary J. Hawkshaw, B.S.N. is Research Associate Professor, Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine. Johnathan Sataloff, MD - Rima DeFatta, MD - Robert Eller, M.D. Robert Eller, M.D. is a graduate of the United States Air Force Academy and Vanderbilt University School of Medicine. He completed his Otolarynology-Head and Neck Surgery training at the University of Alabama, Birmingham and further training in Laryngology and Care of the Professional Voice under Dr. Robert Sataloff in Philadelphia. Dr. Eller is the director of the United States Air Force Laryngology Center in San Antonio, Texas.

• Preface xvii About the Editors xix Contributors xxi Acknowledgments xxv Section I: Normal Vocal Folds 1 1 Normal Anatomy of the Vocal Folds 3 Robert T. Sataloff 2 Macula Flava 5 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff Section II: Techniques in Imaging and Evaluation of the Vocal Folds 7 3 Alveolar Ridge Mucosa Protection During Suspension Laryngoscopy in the 9 Edentulous Patient Mark R. Gilbert, Sorena A. Ostlund, and Clark A. Rosen 4 Vocal Fold Atrophy and Reinke's Edema: Determining True Vocal Fold Edge 11 Eliana Verghese, Rima A. DeFatta, and Robert T. Sataloff 5 Papilloma: A Diagnostic Near Miss 13 Courtney A. Abshier, Rima A. DeFatta, Johnathan B. Sataloff, and Robert T. Sataloff 6 Overcoming the Epiglottis When Laryngeal Examination Is Critical 15 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 7 The Value of Varying Vocal Frequency During Stroboscopy for Vocal Fold Masses 17 Debra Tereschuk and Robert T. Sataloff 8 Medial Margin Evaluation in Large, Overlapping Vocal Fold Lesions 18 Robert T. Sataloff, Mary Hawkshaw, and Karla Kelleher 9 Value of the 70 Telelaryngoscope in Microlaryngoscopy for Benign Pathology 19 Timothy D. Anderson and Robert T. Sataloff 10 Vocal Fold Polyps: Assessing the Vertical Dimension 21 Robert T. Sataloff and Mary Hawkshaw Section III: Congenital 23 11 Bifid Epiglottis 25 Stefanie K. Horne, Peter G. Michaelson, and Erik Weitzel 12 Third Branchial Anomaly: Endoscopic Management Revisited 27 Mala Tanna, Monica R. Sharma, and Bijal Patel 13 Sulcus Vocalis 29 Johnathan B. Sataloff, Rima A. DeFatta, Mary J. Hawkshaw, and Robert T. Sataloff Section IV: Idiopathic 31 14 Idiopathic Tracheal Stenosis 33 Swapna K. Chandran and Robert T. Sataloff 15 Laryngeal Melanosis 35 James R. Tate and Peter C. Belafsky 16 Saccular Cyst 36 Steven Bielamowicz and Priyanka Bhabu 17 Bilateral Saccular Cysts 37 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 18 Bilateral Saccular Cysts 38 Anthony M. Bianchi, Farhad R. Chowdhury, and Robert T. Sataloff 19 Ventricular Cyst of the Larynx 40 Johnathan B. Sataloff, Rima A. DeFatta, Mary J. Hawkshaw, and Robert T. Sataloff Section V: Inflammatory 41 Laryngopharyngeal Reflux 20 A Case of Reflux Laryngitis Controlled with Proton-Pump Blockade Alone 43 David I. Rosenthal and Cesar Ruiz 21 Inferior Glottic Ridges That Prevent Vocal Fold Closure 44 Yolanda D. Heman-Ackah, Karla Kelleher, and Robert T. Sataloff 22 Grading Laryngopharyngeal Reflux by Erythema 47 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff Granuloma 23 Conservative Treatment of an Obstructing Vocal Fold Granuloma 49 Mark E. Boseley and Karen V. Myers 24 Recalcitrant Arytenoid Granuloma 50 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 25 Vocal Process Granuloma 51 Robert L. Eller, Linda Marks, Mary Hawkshaw, and Robert T. Sataloff 26 Pedunculated Granuloma of the Vocal Folds 52 Robert T. Sataloff, Karen M. Lyons, and Joseph R. Spiegel 27 Multiple Recurrent Laryngeal Granuloma 53 Robert T. Sataloff, Dahlia M. Sataloff, and Mary Hawkshaw 28 Nonoperative Treatment of Laryngeal Granuloma 54 Sara C. Scheid, Timothy D. Anderson, and Robert T. Sataloff 29 Vocal Fold Granuloma: The "Ball-Valve" Phenomenon 56 Stephen Lai, Karla Kelleher, and Robert T. Sataloff 30 Granuloma of the Aryepiglottic Fold 58 Mary Hawkshaw, Robert L. Eller, and Robert T. Sataloff 31 Bilateral Granuloma and Varicosity in the Midportion of the Vocal Folds 60 Timothy Anderson, Mary Hawkshaw, and Robert T. Sataloff Systemic Disease 32 Laryngeal Amyloidosis: A Case of "Adidas-Stripes" Larynx 62 Gauthier Desuter, Marc Hamoir, Christophe Van Geem, and Donatienne Boucquey 33 Severe Chronic Laryngitis Mimicking a Granulomatous Disease 63 Mary Es Beaver, C. Richard Stasney, and Margarita Rodriguez 34 Amyloidosis of the Larynx 64 Robert T. Sataloff, Mona Abaza, Nabil A. Abaza, Amy Markiewicz, and Mary Hawkshaw 35 Laryngeal and Subglottic Amyloid 66 Mary Es Beaver, C. Richard Stasney, Jack B. Williams, and Margarita M. Rodriguez 36 Laryngeal Sarcoidosis and Candidiasis 67 Robert T. Sataloff, Joseph R. Spiegel, and Reinhardt J. Heuer 37 Vocal Fold Consequences of Scleroderma 68 Robert T. Sataloff, Joseph R. Spiegel, and Deborah C. Rosen 38 Rheumatoid Nodules and Reflux Disease 69 Mary Es Beaver, C. Richard Stasney, and Margarita Rodriguez 39 Multiple Rheumatoid Nodules of the Vocal Folds 70 Swapna Kartha, Robert L. Eller, Mary Hawkshaw, Xiaoli Chen, and Robert T. Sataloff Section VI: Infectious 73 Viral 40 Acute Laryngitis in a Professional Singer 75 Robert T. Sataloff, Allyson Shaw, and Amy Markiewicz 41 Viral Supraglottitis in an Adult 76 Ali Lotfizadeh and Dinesh K. Chhetri viii Atlas of Laryngoscopy 42 Acute Ulcerative Laryngitis 78 Mary Es Beaver, C. Richard Stasney, and Margarita Rodriguez Bacterial 43 Epiglottic Abscess 79 Andrew Gilbert and Maj. Timothy J. Downey 44 Acute Tracheitis 81 James A. Heilman, Swapna K. Chandran, and Robert T. Sataloff Fungal 45 Fungal Laryngitis 82 Swapna K. Chandran, Karen M. Lyons, Venu Divi, Matthew Geyer, and Robert T. Sataloff 46 Laryngeal Candidiasis 84 Venu Divi, Reena Gupta, Robert T. Sataloff, and Parmis Pebdani 47 Prolonged Ulcerative Laryngitis 85 Raymond C. Maguire, Robert L. Eller, and Robert T. Sataloff 48 Ulcerative Fungal Laryngitis 87 Sara C. Scheid, Timothy D. Anderson, and Robert T. Sataloff 49 Candida Epiglottitis 89 Kevin K. Mathur and Anthony J. Mortelliti 50 Laryngeal Aspergillosis 91 Carole M. Dean, Mary Hawkshaw, and Robert T. Sataloff 51 Histoplasmosis of the Larynx: A Case Report 92 Adam M. Klein, Jeffrey Spiro, and Denis Lafreniere 52 Laryngeal Thrush from Asthma Inhalers 94 Yolanda D. Heman-Ackah, Mary J. Hawkshaw, and Karen M. Lyons 53 Acute Fungal Pharyngolaryngitis 96 Andrew Malton, Rima A. DeFatta, Robert T. Sataloff Section VII: Traumatic 99 54 Dual Laryngeal Foreign Bodies 101 Omar Rahmat and Narayanan Prepageran 55 Dysphagia After Strangulation 103 Jenna Briddell, Andrew Mallon, Rima A. DeFatta, Farhad Chowdhury, and Matthew Nagorsky 56 Pediatric Foreign Body and an Unusual X-Ray Finding 105 Bart Patenaude, Steven Chase, and Marcella Bothwell 57 An Impacted Fish Bone in the Subglottis Manifesting as Protracted Stridor: 107 Photodocumentation Omar Rahmat, Wye Keat Lim, and Narayanan Prepageran 58 Vocal Fold Tear in an Operatic Tenor 109 Joel E. Portnoy and Robert T. Sataloff 59 Mucosal Tear 111 Mark A. Ginsburg, Robert L. Eller, and Robert T. Sataloff 60 The Effects of Yelling in Loud, Smoky Bars 112 Timothy D. Anderson and Robert T. Sataloff 61 Laryngeal Foreign Body in a Former Tracheotomy Patient 114 Joseph R. Spiegel, Robert T. Sataloff, and Cheryl A. Hoover 62 Airway Foreign Body 115 D. J. Verret, Robert Todd Adelson, and John McClay 63 Vocal Fold Masses Related to Inhalation of Fumes 117 Robert T. Sataloff, Mary Hawkshaw, and Joseph R. Spiegel 64 Endolaryngeal Burns From Lye Ingestion 119 Karen M. Lyons, Robert T. Sataloff, and Mary Hawkshaw 65 Vocal Fold Avulsion 121 Robert T. Sataloff, Reinhardt J. Heuer, Mary Hawkshaw, and Joseph R. Spiegel 66 Laryngeal Trauma and Laryngeal Pain 123 Robert T. Sataloff, Mary Hawkshaw, Allyson Shaw, and Karen M. Lyons Section VIII: Vascular 125 67 Vocal Fold Varicosities 127 Stephanie Austin, Venu Divi, Mary Hawkshaw, and Robert T. Sataloff 68 Pyriform Sinus Hemangioma with Calcifications 129 Mary Es Beaver, C. Richard Stasney, and Margarita Rodriguez 69 Hemorrhagic Polyp of the Vocal Fold 130 Cristina A. Jackson-Menaldi, Erica P. Knoll, Robert A. Fishman, and R. Wayne Holland 70 Acute Vocal Fold Hemorrhage 132 Libby J. Smith, Veeraphol Praneetvatakul, and Robert T. Sataloff 71 Vocal Fold Hemorrhage 134 Michael Neuenschwander and Jeannie Dollar 72 Vocal Fold Hemorrhage Observed During Laryngoscopy 136 Justin S. Golub, Edie Hapner, and Michael M. Johns III 73 Hemorrhage into a Vocal Fold Cyst 138 Farhad R. Chowdhury, Nishant Reddy, and Robert T. Sataloff 74 Silent Vocal Fold Hemorrhage 140 Thomas M. d'Arville, Rima A. DeFatta, and Robert T. Sataloff 75 Subtle Submucosal Hemorrhage Causing Dysphonia 142 Robert T. Sataloff, Reinhardt J. Heuer, and Mary Hawkshaw 76 Acute Vocal Fold Hemorrhage After Thyroplasty 143 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 77 Right Posthemorrhagic Polyp with Vocal Fold Varices 145 Timothy D. Anderson, Mary Hawkshaw, and Robert T. Sataloff 78 Hemorrhage, Varicosity, and Cysts in a Professional Singer 147 Libby J. Smith and Robert T. Sataloff 79 Vascular Abnormalities Involving the Vibratory Margin of the Vocal Fold 148 Robert T. Sataloff and Joseph R. Spiegel 80 Singing Dysfunction Following Vocal Fold Hemorrhage: The Need for Caution 150 Robert T. Sataloff, Joseph R. Spiegel, and Reinhardt J. Heuer 81 Vocal Fold Varicosity Causing Voice Fatigue 152 Robert T. Sataloff 82 Varicosities and Vascular Masses 153 Robert T. Sataloff, J. Brian Same, and Mary Hawkshaw 83 Posthemorrhagic Polyp 154 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 84 Posthemorrhagic Vascular Mass on the Left True Vocal Fold 155 Timothy D. Anderson, Mary Hawkshaw, and Robert T. Sataloff 85 Vocal Fold Masses and Varicosity in a Professional Singer 157 Libby J. Smith and Robert T. Sataloff 86 Hemorrhagic Polyp Following Intubation 159 Adam D. Rubin and Robert T. Sataloff 87 Acute Vocal Fold Hemorrhage During Sensory Testing 160 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 88 Acute Mucosal Tear and Vocal Fold Hemorrhage 162 Robert T. Sataloff, Joseph R. Spiegel, and Mary Hawkshaw 89 Vocal Fold Varicosities and Pain on Phonation 163 Robert T. Sataloff, Reinhardt J. Heuer, and Mary Hawkshaw 90 Vocal Fold Cyst, Hemorrhage, and Scar in a Professional Singer 165 Robert T. Sataloff and Mary Hawkshaw 91 Hemorrhagic Polyp With a Contralateral Contact Lesion 166 Adam D. Rubin and Robert T. Sataloff Section IX: Benign Masses and Other Structural Lesions 169 92 The Power of Voice Therapy 173 Timothy Anderson and Robert T. Sataloff 93 Vocal Fold Cyst 175 Amy L. Rutt and Robert T. Sataloff 94 Bilateral Vocal Fold Polyps with Occult Sulcus Mucosal Bridge 176 Colleen N. Johnson and Robert L. Eller 95 Mucous Retention Cyst and Reflux Disease 178 Mary Es Beaver, C. Richard Stasney, and Margarita Rodriguez 96 Vocal Fold Cyst and Fibrosis 179 Venu Divi, Mary Hawkshaw, and Robert T. Sataloff 97 The Floppy Vocal Polyp 180 Omar Rahmat and Narayanan Prepageran 98 Arytenoid Cartilage Chondroma 182 Joel E. Portney, Johnathan B. Sataloff, Mary Hawkshaw, and Robert T. Sataloff 99 A Giant Vocal Fold Polyp Causing Dyspnea 183 Takeshi Kusunoki, Ryohei Fugiwara, Kiyotaka Murata, and Katsuhisa Ikeda 100 Vocal Fold Mucosal Bridge Without Sulcus Vocalis in a Smoker 185 Mauro Zernotti, Cristina Jackson-Menaldi, and Adam D. Rubin 101 Type 2 Sulcus Vocalis: Sulcus Vergeture 187 Edward J. Damrose 102 Asymmetric Reinke's Edema 188 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 103 Dense Vocal Fold Scar 189 Adam D. Rubin, Veereaphol Praneetvatakul, and Robert T. Sataloff 104 Pediatric Vocal Fold Cysts: Acute Dysphonia 191 Adam D. Rubin, Johnathan B. Sataloff, and Robert T. Sataloff 105 Vocal Fold Nodules 192 Adam D. Rubin, Shirley Gherson, and Robert T. Sataloff 106 Bilateral Vocal Fold Masses: Cysts Versus Reactive Nodules 193 Robert T. Sataloff, Anne A. McCarter, and Mary Hawkshaw 107 Small Vocal Fold Mass Causing Dysphonia in a Professional Soprano 194 Robert T. Sataloff, Margaret M. Baroody, and Allyson Shaw 108 A Large Left Vocal Fold Mass 195 Timothy D. Anderson, Mary Hawkshaw, and Robert T. Sataloff 109 Reactive Swelling and Cyst of the Vocal Fold 197 Robert T. Sataloff and Karla Kelleher 110 "Iceberg" Cyst of the Right Vocal Fold 198 Sheila Apicella and Clark A. Rosen 111 Vocal Fold Scar/Sulcus Vocalis 200 Robert L. Eller, Yolanda D. Heman-Ackah, Mary Hawkshaw, and Robert T. Sataloff 112 Vocal Fold Polyp, Scar, and Sulcus Vocalis 202 Robert T. Sataloff, Mary Hawkshaw, and Matthew Nagorsky 113 Sessile Vocal Fold Polyp, Contralateral Reactive Vocal Fold Mass, and 204 Anterior Glottic Microweb Yolanda D. Heman-Ackah and Robert T. Sataloff 114 Vocal Fold Polyp in a Professional Singer 206 Libby J. Smith and Robert T. Sataloff 115 Large Vocal Fold Polyp 207 Venu Divi, Jackie Oxenberg, Mary Hawkshaw, and Robert T. Sataloff 116 Multiple Bilateral Vocal Fold Cysts and Recurrent Pyogenic "Granuloma" 208 Robert T. Sataloff, Mary Hawkshaw, and Amy Markiewicz 117 Bilateral Sulcus Vocalis 209 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 118 Vocal Fold Pseudocysts 211 Kalpana De Pasquale, Robert T. Sataloff, Joseph Anticaglia, and Jeffrey Zimmerman 119 True Vocal Fold Pseudocyst 212 Mark A. Ginsburg, Robert L. Eller, and Robert T. Sataloff 120 Vocal Fold Cyst and Contralateral Occult Sulcus Mucosal Bridge 213 Vicente J. Villagomez and Clark A. Rosen 121 Occult Mucosal Bridge of the Vocal Fold 215 Robert T. Sataloff, Clark A. Rosen, and Mary Hawkshaw 122 Subglottic Edema (Pseudosulcus) 216 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 123 Leukoplakia 218 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 124 Leukoplakia in Laryngopharyngeal Reflux 219 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff 125 Vocal Fold Hyperkeratosis 220 Robert T. Sataloff and Mary Hawkshaw 126 Reinke's Edema: Signs, Symptoms, and Findings on Strobovideolaryngoscopy 221 Danielle Gainor, Farhad R. Chowdhury, and Robert T. Sataloff 127 Reactive Intracordal Fibrovascular Lesion 223 Matthew E. Leach, Joel H. Blumin, Chun He, and Jonathan M. Bock Section X: Impaired Vocal Fold Mobility 227 Neurologic 128 Treatment of Postradiation Laryngeal Compromise 229 Swapna K. Chandran and Robert T. Sataloff 129 The Paresis Podule 231 Stacey L. Halum and Jamie A. Koufman 130 Vocal Fold Paralysis and Bilateral Vocal Fold Hemorrhage 233 Robert T. Sataloff, Joseph R. Spiegel, and Reinhardt J. Heuer 131 Vocal Fold Atrophy After Resection of a Parapharyngeal Space Sarcoma 235 Libby J. Smith, Mary Hawkshaw, and Robert T. Sataloff 132 Gelfoam Injection as a Treatment for Temporary Vocal Fold Paralysis 236 H. Hakan Coskun and Clark A. Rosen 133 Autologous Fat Injection: The Intraoperative End Point 238 Robert T. Sataloff, Mary Hawkshaw, and Allyson Shaw 134 Reinnervation of the Paralyzed Vocal Fold 239 Edward J. Damrose and Gerald S. Berke Mechanical 135 Pediatric Anterior Arytenoid Dislocation 240 Robert T. Sataloff, Joseph R. Spiegel, Reinhardt J. Heuer, and Mary Hawkshaw 136 Posterior Arytenoid Dislocation 241 Robert T. Sataloff, Anne A. McCarter, and Mary Hawkshaw 137 Complex Posterior Arytenoid Dislocation 243 Rima A. DeFatta, Jenna Briddell, and Robert T. Sataloff 138 Complex Bilateral Arytenoid Dislocation 245 Robert T. Sataloff, Mary Hawkshaw, and Joseph R. Spiegel Section XI: Neoplastic 247 Benign 139 Laryngeal Papilloma 249 Rima A. DeFatta, Johnathan B. Sataloff, Grace E. Klaris, and Robert T. Sataloff 140 Removal of Vocal Fold Papillomata and a Laryngeal Web 251 C. Richard Stasney, Margarita Rodriguez, and Jeremy Hathway 141 Recurrent Vocal Fold Papilloma: Resection Using Cold Instruments 252 Carole Dean, Robert T. Sataloff, and Mary Hawkshaw 142 Recurrent Invasive Papilloma of the Vocal Fold 254 Robert T. Sataloff, Joseph R. Spiegel, and Mary Hawkshaw 143 "Self-Treatment" for Laryngeal Papillomatosis 256 Joseph R. Spiegel, Robert T. Sataloff, and Mary Hawkshaw 144 Endoscopic Internal Stent: A New Procedure for Laryngeal Webs in the 257 Presence of Papilloma Robert T. Sataloff and Mary Hawkshaw 145 Cidofovir and Cancer: A False Positive 259 Robert L. Eller, Mary Hawkshaw, Nikolay Popnikolov, and Robert T. Sataloff 146 Laryngeal Lipoma 261 Rima A. DeFatta, Tre Landrum, Joseph Whitten, and Robert T. Sataloff 147 Laryngeal Leiomyoma 264 Thomas Q. Gallagher and John T. Sinacori 148 Laryngeal Paraganglioma 266 Yoav Hahn, Richard Isaacs, and Peter C. Belafsky 149 Granular Cell Tumor of the Larynx 268 Robert T. Sataloff, Mary Hawkshaw, and Janette Ressue Malignant 150 Transglottic Carcinoma 270 C. Richard Stasney and Mary Es Beaver 151 Squamous Cell Carcinoma Masquerading as a Vocal Fold Papilloma 271 Jeffrey C. Liu and Lucian Sulica 152 Cricoid Chondrosarcoma Presenting as Breathy Dysphonia 272 Scott Rickert, Robert Buckmire, and Lucian Sulica 153 Laryngeal Lymphoma 274 David O. Francis and Albert L. Merati 154 Laryngeal Keratosis with Underlying Invasive Carcinoma 275 Sampan S. Bist, Saurabh Varshney, Rakesh Kumar, Sanjeev Bhagat, and Nitin Gupta 155 Laryngeal Cancer 278 Mary Hawkshaw, Robert L. Eller, and Robert T. Sataloff 156 T1 Glottic Carcinoma 280 Robert L. Eller, Mary Hawkshaw, Yolanda D. Heman-Ackah, and Robert T. Sataloff 157 Vocal Fold Cancer Presenting as Sudden Dysphonia in the Absence of 282 Risk Factors Robert T. Sataloff, Mary Hawkshaw, Anne A. McCarter, and Joseph R. Spiegel 158 Anterior Laryngeal Transglottic Carcinoma 283 Robert T. Sataloff, Joseph R. Spiegel, Mary Hawkshaw, and Deborah C. Rosen 159 Benign or Malignant? 284 Robert L. Eller, Karen M. Lyons, and Yolanda D. Heman-Ackah Section XII: Complications 285 160 A Unique Complication of Microflap Surgery of the Vocal Fold 287 Clark A. Rosen and Vicente O. Villagomez 161 Vocal Fold Plaque Following Triamcinolone Injection 289 Pedro A. Andrade Filho and Clark A. Rosen 162 Subglottic Synechia 291 Ezechiel Nehus and Michael M. Johns III 163 Views of a Type I Posterior Glottic Stenosis Before and After Lysis 293 Melinda Davis-Malesevich and Albert Merati 164 Asymptomatic Anterior Glottic Web 295 Jamie Eaglin, Farhad R. Chowdhury, and Robert T. Sataloff 165 Adult-Onset Iatrogenic Tracheomalacia 297 Christopher Y. Chang and James P. Thomas 166 Anterior and Posterior Glottic Webs 299 Jennifer M. Cannady and Lee A. Reussner 167 Glottic Web at the Striking Zone 301 Adam D. Rubin and Robert T. Sataloff 168 Bilateral Ventricular Webs 302 Stacey L. Halum and Albert L. Merati 169 Complications of Vocal Fold Varicosities and Their Treatment 304 Ron L. Moses, Mary Hawkshaw, and Robert T. Sataloff 170 Managing Glottal Incompetence Following Teflon Injection 306 Vicente J. Villagomez and Clark A. Rosen 171 Teflon Granuloma 308 James R. Tate, Peter C. Belafsky, and Kristen Vandewalker 172 Laryngeal Teflon Granuloma: Endoscopy, Laryngeal Videostroboscopy, and 310 CT Imaging Carlos M. Rivera-Serrano and Libby J. Smith 173 Interarytenoid Mucosal Bridges Complicating Endotracheal Intubation 312 John Schweinfurth 174 Postintubation Granuloma and Vocal Fold Erosion 314 Joseph R. Spiegel, Robert T. Sataloff, and Mary Hawkshaw 175 Truly False Vocal Folds: An Unusual Complication of Chemoradiation Therapy 315 Timothy D. Anderson 176 Intralaryngeal Extrusion of Thyroplasty Implant 317 Robert L. Eller, Mary Hawkshaw, and Robert T. Sataloff Index 319