BENIGN LESIONS
VIDEO SECTIONMost benign laryngeal lesions occur on the vocal cords either from birth or at a later age due to several predisposing factors and /or exposure to irritants. On the basis of their etiology, they can be divided into congenital (epidermoid cysts, sulcus vocalis, vergeture, mucosal bridge) and acquired lesions (nodules, polyps, granulomas, cysts, iatrogenic scars). The most frequent causes of acquired lesion onset include: vocal abuse, smoking, prolonged exposure to irritants, gastro-esophageal reflux, laryngeal and vocal traumas and previous surgical operations. From a clinical standpoint, one the benign lesions’ early symptoms is dysphonia, i.e. a change in the patient’s voice; its degree of severity may vary (intermittent, constant, or worsening), and it typically coexists with increasing vocal fatigue (phonoastenia). In its congenital forms, symptoms set on within the first years of life, while in its acquired forms they become increasingly evident as the organic lesion develops