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Vocal Fold Scarring: Current Concept and Treatment Shigeru Hirano ' ) and Minoru Hirano ' Vocal fold scarring is one of the most important issues that have remained a therapeutic challenge. It occurs following injury or inflammation, and disrupts the layer structure of the vocal fold lamina propria, which in turn stiffens the vocal fold resulting in severe dysphonia that is difficult to treat. Scarring is histologically characterized by the replacement of normal tissue by fibrosis. Recentdoi:10.5426/larynx1989.15.1_1 fatcat:s6ix5t2dvzh43klhc4nbcd2t7y