Laryngeal oedema – infection, allergy, laryngopharyngeal reflux
18 April 2018 (online)
The aim of this poster is to share our clinical experience in 2016 with cases of laryngeal edema and dysphonia.
Materials and methods:
We present a number of patients, both inpatients and outpatients, with laryngeal complaints such as hoarseness, breathing difficulties, cough, repetitive throat clearing, and pharyngeal sensations of fullness. Among the used methods are full ENT examination, fibro- and videolaryngoscopy, fibrogastroduodenoscopy, skin-prick tests.
Similar laryngeal complaints may stem from a variety of clinical causes and require different therapeutic management. The main causes are infections, allergic reactions, smoking, and last but not least laryngopharyngeal reflux. Most infections of the larynx are self-limiting viral diseases; allergic ededmas require anthihistamine, intravenous corticosteroids and trecheostomy in severe cases; laryngopharyngeal reflux may need up to three months of PPI; some specifc cases of the so called Reinke's oedema may benefit well from microlaryngeal surgery.
Precise diagnosis is required with multidisciplinary approach in close collaboration with gastroenterologists, allergologists and, in some cases, intensive care specialists.