Vocal Fold Scar
Current Concepts and Management
Editors: Jaime Eaglin Moore, M.D., Robert T. Sataloff, M.D., D.M.A., F.A.C.S, and Mary J. Hawkshaw, B.S.N., R.N., CORLN
Vocal fold scar remains one of the most demanding and, in some ways, frustrating challenges of laryngology and voice therapy. Treatments for this complex condition are inconsistent and often produce suboptimal results. Yet, while hopes for full recovery remain slim, surgical methods and improving technologies, along with improved therapy techniques, have combined to yield better and better outcomes; and further advances are on the horizon.
In this new book, Moore, Sataloff, and Hawshaw have collaborated with world leaders in laryngology and speech-language pathology to compile the latest information on the pathophysiology of vocal fold scar, treatments, procedures and, importantly, look at the promising directions in research. The authors introduce the various causes and sequelae of scar, examine anatomy and pathophysiology, and take the reader through diagnostic procedures. Thereafter, they review preoperative therapy options and providing practical guidance on surgical methods including medialization, techniques for freeing the epithelium, management of sulcus, grafting, and the use of lasers. The book discusses tissue engineering and newer treatment options, including epidermal growth factor (EGF) and transforming growth factor-beta 1 (TGF-β1).
The book summarizes the state of the art in diagnosis and treatment of vocal fold scar and should be valuable for any clinician who cares for the patient with this vexing problem.
About the Editors
Jaime Eaglin Moore, M.D. is an otolaryngologist and laryngologist. Dr. Moore is board certified by the American Board of Otolaryngology. Dr. Moore received her Doctor of Medicine degree from Eastern Virginia Medical School, and she completed a residency in Otolaryngology—Head and Neck Surgery at Virginia Commonwealth University in Richmond, Virginia. She was a fellow in laryngology and care of the professional voice at the American Institute for Voice and Ear Research. Author of numerous publications and on the editorial board for the Ear, Nose and Throat Journal and the Journal of Voice, Dr. Moore is an assistant professor at Virginia Commonwealth University.
Mary J. Hawkshaw, B.S.N., R.N., CORLN is Research Associate Professor in the Department of Otolaryngology – Head and Neck Surgery at Drexel University College of Medicine. She has been associated with Dr. Robert Sataloff, Philadelphia Ear, Nose & Throat Associates and the American Institute for Voice & Ear Research (AIVER) since 1986. Ms. Hawkshaw graduated from Shadyside Hospital School of Nursing in Pittsburgh, Pennsylvania and received a Bachelor of Science degree in Nursing from Thomas Jefferson University in Philadelphia. In addition to her specialized clinical activities, she has been involved extensively in research and teaching. She mentors medical students, residents, and laryngology fellows, and has been involved in teaching research, writing and editing for nearly three decades. In collaboration with Dr. Sataloff, she has co-authored more than 170 articles, 70 book chapters, and 10 textbooks. A member of the Editorial Boards of the Journal of Voice and Ear, Nose and Throat Journal, she has served as Secretary/Treasurer of AIVER since 1988 and was named Executive Director January 2000. She has served on the Board of Directors of the Voice Foundation since 1990. Ms. Hawkshaw has been an active member of the Society of Otorhinolaryngology and Head-Neck Nurses since 1998. She is recognized nationally and internationally for her extensive contributions to care of the professional voice.
Robert T. Sataloff, M.D., D.M.A., F.A.C.S. is Professor and Chairman, Department of Otolaryngology-Head and Neck Surgery and Senior Associate Dean for Clinical Academic Specialties, Drexel University College of Medicine. He is also Adjunct Professor in the departments of Otolaryngology – Head and Neck Surgery at Thomas Jefferson University, the University of Pennsylvania, and Temple University; and on the faculty of the Academy of Vocal Arts. Dr. Sataloff is also a professional singer and singing teacher, and he served as Conductor of the Thomas Jefferson University Choir over a period of nearly four decades. He holds an undergraduate degree from Haverford College in Music Theory and Composition, graduated from Jefferson Medical College, Thomas Jefferson University, received a Doctor of Musical Arts in Voice Performance from Combs College of Music; and he completed his Residency in Otolaryngology - Head and Neck Surgery and a Fellowship in Otology, Neurotology and Skull Base Surgery at the University of Michigan. Dr. Sataloff is Chairman of the Boards of Directors of the Voice Foundation and of the American Institute for Voice and Ear Research. He has also served as Chairman of the Board of Governors of Graduate Hospital; President of the American Laryngological Association, the International Association of Phonosurgery, and the Pennsylvania Academy of Otolaryngology – Head and Neck Surgery; and in numerous other leadership positions. Dr. Sataloff is Editor-in-Chief of the Journal of Voice, Editor-in-Chief of Ear, Nose and Throat Journal, Editor-in-Chief of the Journal of Case Reports in Medicine, Associate Editor of the Journal of Singing, and on the editorial boards of numerous otolaryngology journals. He has written over 1,000 publications, including 50 books. His medical practice is limited to care of the professional voice and to otology/neurotology/skull base surgery.
List of Contributors
1. Vocal Fold Anatomy and Pathophysiology of Scar. Jeanna M. Stiadle, Ph.D. and Susan L. Thibeault, Ph.D.
2. Diagnosis of Vocal Fold Scar. Hayley Herbert, F.R.A.C.S., MB.ChB and John Rubin, M.D., F.A.C.S., F.R.C.S.
3. Medical Management. Scott Hardison, M.D.
4. Vocal Fold Medialization. Farhad Chowdhury, M.D., Robert T. Sataloff, M.D., D.M.A., F.A.C.S. and Adam D. Rubin, M.D.
5. Epithelium Freeing Techniques. Aaron J. Jaworek, M.D., Mary J. Hawkshaw, RN, BSN, CORLN, and Robert T. Sataloff, M.D., D.M.A., F.A.C.S.
6. Management of Sulcus Vocalis. William E. Karle, M.D. and Michael J. Pitman, M.D.
7. Laryngeal Resurfacing. Joel E. Portnoy, M.D., Mary Hawkshaw, RN, BSN, CORLN and Robert T. Sataloff, M.D., D.M.A., F.A.C.S.
8. Lasers. Ramon A. Franco Jr, M.D. and Inna Husain, M.D.
9. Tissue Engineering. Shigeru Hirano, Ph.D