Pendergraph Bernadette, Cheng John, Alvarez Claudia, Singh Simran
Harbor-UCLA Family Medicine Residency Program, Harbor-UCLA/Team to Win/Kaiser Permanente Sports Medicine Fellowship, 1403 West Lomita Boulevard Suite 105, Harbor City, CA 90710, USA; Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.
Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA; Harbor-UCLA Family Medicine Clinic, Harbor-UCLA Medical Center, 1403 West Lomita Boulevard Suite 102, Harbor City, CA 90710, USA.
Prim Care. 2025 Mar;52(1):123-137. doi: 10.1016/j.pop.2024.09.013. Epub 2025 Jan 3.
Vocal cord disorders present with a variety of symptoms including dysphonia, respiratory symptoms, and stridor. When evaluating symptoms, a complete history and through head, neck, and neurologic examinations are necessary. If dysphonia persists for greater than 4 w or there is associated smoking, then larngoscopy is necessary to evaluate the vocal folds. Empiric treatment of dysphonia is not recommended without direct visualization of the vocal folds. Most masses of the vocal folds are benign and resolve with voice hygiene and speech therapy. Surgery is reserved for persistent symptomatic nodules and cancerous lesions.
声带疾病会出现多种症状，包括声音嘶哑、呼吸道症状和喘鸣。评估症状时，完整的病史以及全面的头部、颈部和神经系统检查是必要的。如果声音嘶哑持续超过4周或伴有吸烟情况，那么就需要进行喉镜检查以评估声带。在未直接观察到声带的情况下，不建议对声音嘶哑进行经验性治疗。大多数声带肿物是良性的，通过嗓音卫生和言语治疗即可缓解。手术仅适用于持续有症状的结节和癌性病变。
