J Korean Soc Laryngol Phoniatr Logoped.  2022 Apr;33(1):13-19. 10.22469/jkslp.2022.33.1.13.

Vocal Fold Leukoplakia: Updates in Diagnosis and Management

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Korea

Abstract

Vocal fold leukoplakia poses a challenge to otolaryngologists due to its various spectrum of pathologic diagnosis. The degree of dysplasia is associated with malignancy risk and the new 2017 WHO classification system changed from the 3-tier system to a 2-tier system consisting of low and high grades. Infections including candidiasis, cryptococcosis, and tuberculosis should also be included in the differential diagnosis. Efforts have been made to evaluate risks using endoscopic technologies such as narrow band imaging, and surgery is essential for histopathological diagnosis. Regarding management, it is important to make an accurate diagnosis and find a balance between oncologic safety and functional outcome.

Keyword

Vocal cords; Leukoplakia; Laryngeal disease; Precancerous conditions; 성대; 백반증; 후두 질환; 이형성증
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