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Pseudomyxomatous Laryngitis A 10th year retrospective study
Introduction Pseudomyxomatous laryngitis, or Reinke s oedema, is a chronic laryngitis which occurs mostly in smokers being associated with an overuse of the voice. The lesion can be found on the upper face of the vocal cords, from the anterior comissure to the vocal processes. The inferior face and the ventricle are respected. The cords show a whitish, translucent aspect. The lesions are generally bilateral. The presence of associated dysplasia is quite rare.
Material and Methods We evaluated 728 patients with Reinke s edema over 10 years. The patients were admitted in the END department Timisoara. We evaluated the following parameters: age, etiological factors, gastro-oesophageal reflux, histopathologic aspect (dysplasia), treatment options and the post treatment patient's voice.
Results From 728 patients, 519 were smokers and 209 non-smokers. The initial measures were to avoid irritant factors and speech therapy for 213 cases and surgical intervention were performed in 515 cases (426 procedures with cold instruments; while 89 procedures with CO2 Laser).
Conclusions Reinke s oedema is a chronic laryngitis which might be treated by avoidance of irritant factors, followed by speech therapy or by surgical procedure.
Key words Pseudomyxomatous laryngitis, Reinke s oedema, speech therapy, cold instruments surgical procedure, CO2 Laser
10 June 2020 (online)
© Georg Thieme Verlag KG
Stuttgart · New York