Vocal fold scarring current concepts and management 6 on the basis of the aforementioned concepts certain rules should be followed when operating on benign mucosal lesions and strobovideolaryngoscopy is virtually indispensable to proper diagnosis and management of vocal fold scar 11. Scarring of the vocal folds can occur as the result of blunt laryngeal trauma or more commonly as the result of surgical iatrogenic injury after excision or removal of vocal fold lesions. The assessment and treatment of persistent dysphonia in patients with vocal fold scarring presents both diagnostic and therapeutic challenges to the voice treatment team the common causes of vocal fold scarring are described and prevention of vocal fold injury during removal of vocal fold lesions is stressed. Vocal fold scar disrupts the mucosal wave and interferes with glottic closure treatment involves a multidisciplinary approach that includes voice therapy medical management and sometimes surgery. Vocal fold wound healing and scar formation any successful therapeutic approach to vocal fold scarring is dependant on a comprehensive understanding of its pathophysiology
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