A Rare Case of Vocal Mucosal Fold: Case Report

Abstract

 Background: Vocal cord mucosal folds are rare benign lesions that can significantly impact voice quality, especially in vocal professionals such as singers. These lesions may cause respiratory distress and alterations in vocal quality, which can progressively worsen if not treated appropriately. Early diagnosis and surgical intervention are critical for restoring voice function and preventing long-term complications. Case Presentation: We present the case of a 43-year-old male singer who reported a gradual onset of respiratory distress and change in voice over six months. Endoscopic examination revealed a vocal cord flap originating from the left vocal cord, while all other clinical and laboratory parameters remained within normal limits. Pre-anaesthetic evaluation confirmed fitness for microlaryngoscopic excision, which was performed successfully without intraoperative complications. The patient recovered well post-operatively and was discharged the next day. A structured voice therapy program was initiated, leading to notable improvement in the Voice Handicap Index (VHI-10) scores, reflecting enhanced vocal quality and reduced symptoms. At subsequent follow-ups, the patient maintained stable voice quality, with no evidence of recurrence. Conclusion: Microlaryngoscopic excision of vocal cord mucosal folds, combined with post-operative voice therapy, is an effective strategy for symptom relief and voice restoration in vocal professionals. Early intervention and structured rehabilitation are key to achieving optimal vocal recovery.