I practice otolaryngology. My observations are entirely clinical. Some of them may interest some of you: for instance, vocal nodules, either in young children or in adults, a retention cyst, and the earliest manifestation of cancer are the only tumors that grow from the free edge of the vocal cords. Fibroma, angioma and their combinations, pedunculated tumors of various types, all start on the under or the upper surface of the cord; this is also true of hemorrhagic blebs. Contact ulcers are the results of excessive abuse of the voice during acute inflammatory reaction. All other ulcers are of special etiology. A simple chronic ulcer never occurs in the larynx; its etiology must be sought for.
Single pedunculated papilloma in the child is different in its behavior from the multiple type; the prognosis is better. Dissection with the aid of suspension gives me the best results. The same tumor in
LYNCH RC. OBSERVATIONS OF A LARYNGOLOGIST. JAMA. 1930;95(24):1795-1796. doi:10.1001/jama.1930.02720240005002