At the time this article was written, Carolyn F. Filarski was a physician assistant fellow in the Department of Otolaryngology/Head and Neck Surgery at the Mayo Clinic Arizona in Scottsdale, Ariz. She now works in otolaryngology/head and neck surgery at Cedars-Sinai in Los Angeles, Calif. Carrlene B. Donald practices in the Department of Otolaryngology/Head and Neck Surgery at the Mayo Clinic Arizona and is an assistant professor in otolaryngology at Mayo Clinic College of Medicine. Anthony P. Mendez practices in the Department of Otolaryngology/Head and Neck Surgery at Mayo Clinic Arizona and is the program director of the Mayo Clinic's Physician Assistant Fellowship in Otolaryngology/Head and Neck Surgery. David G. Lott is an associate professor of otolaryngology and a laryngologist at Mayo Clinic Arizona. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2024 Oct 1;37(10):1-3. doi: 10.1097/01.JAA.0000000000000124. Epub 2024 Sep 24.
Patients with vocal cord polyps commonly present with symptoms of hoarseness. Although rare, large polyps can cause shortness of breath and stridor and should be included in the differential for patients with airway obstruction. Dysphonia or hoarseness can be a symptom of underlying disease, such as head and neck cancer. This case illustrates the importance of prompt and accurate diagnosis in a patient with persistent symptoms and a history of smoking. Obtaining a laryngoscopy is crucial to appropriately evaluate the larynx. Proper visualization of the laryngeal structures will help direct patient care toward further diagnostic imaging and medical or surgical intervention if indicated.
声带息肉患者常出现声音嘶哑的症状。虽然较为罕见，但大的息肉可引起呼吸急促和喘鸣，对于有气道阻塞的患者应考虑到该病症。发声困难或声音嘶哑可能是潜在疾病的症状，例如头颈部癌症。本病例说明了对于持续性症状和吸烟史的患者，及时准确诊断的重要性。进行喉镜检查对于恰当评估喉部至关重要。适当观察喉部结构有助于指导患者进一步进行诊断性影像学检查以及在必要时进行药物或手术干预。
