[Basic principles for managing and post-operative follow-up in phono-surgery].

The management of the voice in patients with benign lesions of the larynx causing chronic dysphonia follows certain simple rules, on which depend the final functional result. It also requires the closest collaboration between the voice surgeon and the speech therapy team. The indication for surgery rests on the most precise diagnosis of the condition, after examination of the larynx with the rigid endoscope and video-stroboscopy of the cord movements.

["Bamboo nodes": a clinical study of 19 cases].

This is an account of 19 cases undergoing surgery for submucosal deposits on the cords of a particular type, 8 of the 19 cases having an auto-immune disorder. The nineteen patients were operated and followed up between December 1986 and December 2001, the main symptom being dysphonia. Stroboscopy demonstrated a yellowish appearance, often transverse, of the middle third of the cord, giving the characteristic appearance of a bamboo node.

[Results of six years experience using an injection of autologous fat into the vocal cord].

Several techniques are available for medialising the vocal cord or for compensating for glottic air escape. The authors have used the technique of injection of autologous fat into the vocal cord over a six year period for various indications, in a total of 124 patients (65 having unilateral palsy, and 59 glottic air escape). The later results depend on the initial problem, but in general demonstrate a notable reduction in air escape.

[Anatomy and anatomopathology of benign vocal cord lesions].

After 30 years of experience comprising more than 3000 suspension laryngoscopies, we are putting forward a classification of the main benign lesions of the vocal cords. Among the acquired group, we make a distinction between those caused by vocal overuse and abuse and those with a cause within the vocal cord. Congenital lesions are certainly more common than is usually thought.

[Dysphonia in adults caused by unilateral pseudohypertrophy of the ventricular band with deformation of the thyroid cartilage. Apropos of three cases].

The association of dysphonia appearing in adulthood with unilateral bulging of the false cord associated with a convex deformation of the overlying thyroid cartilage is to be remarked in three cases. The origin, which was presumably acquired by gradual deformation of the thyroid cartilage with age, is discussed in the light of the literature and the clinical history. A past traumatic cause can also be implicated (1 case).

[Otosclerosis: stapedectomy or stapedotomy. A long-term comparative study. Apropos of 1279 cases].

The authors report 1279 surgical operations of otosclerosis performed between 1980 and 1992 in 959 operated patients. They chose the autegenous vein or perichondrium interposition TeflonR piston; however this technique has improved over the past few years. The size of the stapedectomy has been diminishing; from total, then partial stapedectomy, at last to 0.

Microsurgical treatment of benign vocal fold lesions: indications, technique, results.

This report summarises the joint experience of a surgeon and a phoniatrician, working as a team over a period of 20 years, carrying out 2,552 microsurgical operations on 2,334 patients with benign vocal fold lesions. The authors first present their procedure and then examine indications for surgery, surgical technique, postoperative follow-up and results for each pathology concerned. Phonosurgery with children (191 cases) and singers (128 cases) is given separate consideration.

[Modes of appearance of vocal cord polyps].

A certain number of polyps of the vocal folds result from violent, intense and unaccustomed physical activity. The development of these polyps is certainly linked to high subglottal pressure and the abrupt reduction of the same.

Epidermoid cysts, sulci, and mucosal bridges of the true vocal cord: a report of 157 cases.

Presented is a summary of our experience with 157 patients having a diagnosis of epidermoid cyst, glottic sulcus, or mucosal bridge of the true vocal cord. Each patient in this group was diagnosed and treated jointly by a phoniatrist and microlaryngoscopist and then evaluated for results of surgical and phoniatric therapy. Included in the discussion are methods of examination and diagnosis, microanatomy and histopathology of the lesions, methods of treatment, and results of treatment.

Epidermoid cysts of the vocal cords.

Fifty-three cases of intracordal epidermoid cysts diagnosed, treated and followed from 1972 to 1981 are presented. In the clinical evaluation, special attention must be paid to the type of dysphonia and morphology of the vocal cords at indirect laryngoscopy. The epidermoid cyst is not easily visualized and the examiner must take into account signs like "monochorditis," slight bulging, unilateral nodule and diminished or abolished vibrations of one of the cords at stroboscopy.

Diagnosis and treatment of intracordal cysts.

Seventy-one cases of intracordal cysts are reported. They were all diagnosed between 1970 and 1980: 53 were epidermoid and 18 retention cysts. They caused longstanding dysphonia characterized by lowered tonality, huskiness, desonorization, and vocal strain.