OBJECTIVES: To report the findings of unsuspected underlying concurrent abnormalities of the vocal fold (VF) associated with polyps. STUDY DESIGN AND SETTING: Retrospective chart review at tertiary teaching institution. SUBJECTS AND METHODS: Operative and clinical notes of 81 adults submitted to suspension laryngoscopy for vocal fold polyp (VFP) excision from 1998 to 2007, which had no previous report of associated structural abnormalities. RESULTS: Associated lesions were described in 54 patients (67%) (35 contralateral, 16 ipsilateral, and three bilateral): 18 reactive nodules, 21 sulcus vocalis, five cysts, two microwebs, and eight capillary ectasias. A positive correlation was found between the presence of polyps and associated structural abnormalities (r=0.0035; P<0.05). CONCLUSIONS: The high incidence of concurrent previously unsuspected VF lesions suggests that either these minor underlying anatomical deviations render the VF more vulnerable to vocal abuse, or that phonotrauma may cause a number of VF lesions that can lead to dysphonia.
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机译：目的：报告未发现的息肉伴息肉的潜在潜在异常。研究设计与设置：高等教学机构的回顾性图表审查。研究对象和方法：从1998年至2007年，有81例成年人因悬吊喉镜行声带息肉（VFP）切除术而接受了手术和临床笔记，但此前均无相关结构异常的报道。结果：54例患者（67％）（35例对侧，16例同侧和3例双侧）描述了相关病变：18个反应性结节，21个声带沟，5个囊肿，2个微网和8个毛细血管扩张。息肉的存在与相关的结构异常之间存在正相关（r = 0.0035; P <0.05）。结论：先前未曾怀疑的并发性VF病变的高发率提示，这些微小的潜在解剖学变异使VF更容易受到声音虐待，或者声带创伤可能会导致许多VF病变，从而导致发音困难。
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