| FOR EACH SITE SCORE AS 0 = NONE; 1 = SURFACE LESION; 2 = RAISED LESION; 3 = BULKY LESION | |
| SITE | SCORE |
| Epiglottis ? lingual surface |
|
| Epiglottis ? laryngeal surface |
|
| Right aryepiglottic fold |
|
| Left aryepiglottic fold |
|
| Right false vocal fold |
|
| Left false vocal fold |
|
| Right true vocal fold |
|
| Left true vocal fold |
|
| Right arytenoid |
|
| Left arytenoid |
|
| Anterior commissure |
|
| Posterior commissure |
|
| Subglottis |
|
| Trachea-upper one-third |
|
| Trachea-middle one-third |
|
| Trachea-lower one-third |
|
| Right bronchus |
|
| Left bronchus |
|
| Tracheotomy stoma |
|
| Nose |
|
| Pharynx |
|
| Esophagus |
|
| Lungs |
|
| Other |
|
| TOTAL ANATOMICAL SCORE |
|