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. 2010 Oct 12;63(4):201–208. doi: 10.1159/000316314

Table 1.

Exemplary part of the documentation form: morphological findings larynx and function

Morphological Findings Larynx and Function
Morphological findings: larynx □ Normal □ Leukoplakia □ Neoplasm
True vocal cords □ Nodulus □ Ulcer
graphic file with name fpl0063-0201-u01.jpg □ Erythema □ Polyp
□ Morphological defects □ Synechy
□ Atrophy □ Edema
□ Right □ Left □ Bilateral

Glottic gap □ Normal □ Reduced

Supraglottic region: □ Normal □ Leukoplakia □ Neoplasm
□ False vocal cords (FVC) □ Nodulus □ Ulcer
□ Aryepiglottic rim □ Erythema □ Polyp
□ Arytenoid □ Morphological defects □ Synechy
□ Atrophy □ Edema
□ Right □ Left □ Bilateral

Epiglottis □ Normal □ Leukoplakia □ Neoplasm
□ Nodulus □ Ulcer
□ Erythema □ Polyp
□ Morphological defects □ Synechy
□ Atrophy □ Edema
□ Right □ Left □ Bilateral

Function: larynx □ Normal □ Not possible
Motility of true vocal cords: abduction □ Asymmetry
□ Limitations in
 Respiration  □ Range
 □ Speed
 □ Coordination
□ Right □ Left □ Bilateral

Motility of true vocal cords: adduction □ Normal □ Not possible
□ Asymmetry
 Phonation: □ Limitations in
  Tasks: leel and repeated: leel/eel leel  □ Range
 □ Speed
 □ Coordination
□ Right □ Left □ Bilateral

Airway protection □ Complete □ Not possible
 True vocal cord – closure: □ Incomplete
  Task: breath-holding lightly  □ TVC closure
 □ FVC closure
  Sustain breath hold: 7+ s  □ Epiglottal inversion
 False vocal cord – closure:
  Task: breath-holding tightly and/or cough
 Epiglottal inversion:
  Task: dry swallow