Vocal Fold Scar – New Classification Proposal

Jeferson Sampaio d’à Vila, Daniel Vasconcelos d’à Vila, Antônio Roberto Ferreira Setton, Carlos Rodolfo de Góis, Lauro Roberto de Azevedo Setton and Davi Vasconcelos d’à Vila
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Jeferson Sampaio d’à Vila: Federal University of Sergipe (UFS), Aracaju-SE, Brazil. Otorhinolaryngologist from the Pontifical Catholic University of Rio de Janeiro (PUC)of Sergipe (UFS)
Daniel Vasconcelos d’à Vila: Tiradentes University-SE (UNIT-SE), Brazil. Otorhinolaryngologist from the University of São Paulo (FMUSP). Master’s and PhD from FMUSP. Fellowship in Pharyngolaryngology at FMUSP Professor of Otorhinolaryngology at Tiradentes University – SE, Brazil Aracaju-SE
Antônio Roberto Ferreira Setton: Federal University of Sergipe (UFS), Brazil. Otorhinolaryngologist from Santa Casa de Misericórdia de Maceió. PhD from the Federal University of Sergipe (UFS). Coordinator of the Hearing Health and Cochlear Implant Service at São José Hospital – Otocenter, Brazil, Aracaju-SE
Carlos Rodolfo de Góis: Federal University of Sergipe (UFS), Brazil. Otorhinolaryngologist from Otorrinos Hospital. PhD from the Federal University of Sergipe (UFS). Professor of Otorhinolaryngology at the Federal University of Sergipe (UFS), Brazil, Aracaju-SE
Lauro Roberto de Azevedo Setton: Tiradentes University (UNIT-SE), Brazil Physician from Tiradentes University (UNIT-SE). Otorhinolaryngology resident at Santo Antônio Hospital – Obras sociais Irmã Dulce (OSID) – Salvador-BA
Davi Vasconcelos d’à Vila: Tiradentes University-SE (UNIT-SE), Brasil. Medical student at Tiradentes University (SE), Aracaju – SE, Brazil

International Journal of Research and Scientific Innovation, 2025, vol. 12, issue 15, 1505-1510

Abstract: Background: There are several types of scars on the vocal folds, for multiple causes. Strobe videolaryngoscopy is the safest and most elucidative diagnostic method, as it evaluates the mobility of the vocal folds and the tissue analysis of the lesion. Treatments such as speech therapy, topical application and infiltration of substances, as well as surgeries are proposed alone or in combination. Objective: To present a new classification of vocal fold scars, taking into account structural changes within and outside the vocal fold boundaries. Method: To characterize scars that exceed the anatomical limits of the vocal folds, such as synechiae and granulomatous lesions, considered hypertrophic and exuberant. Classify the types of granulomas in terms of appearance and location. To classify the different types of synechiae resulting from reflux complication, iatrogenic surgical trauma, and post-radiotherapy. Compare intra-tissue scars with extra-tissue scars. Result and Conclusion: Proof of the efficacy of this didactic systematization with the use of videolaryngoscopy and microscopy associated with rigid endoscopy in the intraoperative period, with a better understanding of the disease and programming of the most appropriate therapeutic regimen.

Date: 2025
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