| Autor: |
Bayar N; ENT Department, Faculty of Medicine, Kirikkale University, Ankara, Turkey. nurayb@hotmail.com, Kara SA, Keleş I, Koç C, Altinok D, Orkun S |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of otolaryngology [J Otolaryngol] 2003 Dec; Vol. 32 (6), pp. 373-8. |
| DOI: |
10.2310/7070.2003.13910 |
| Abstrakt: |
The cricoarytenoid (CA) joint involvement in rheumatoid arthritis (RA) is not uncommon. In this study, clinical assessment, laryngeal endoscopy, and high-resolution computed tomography (HRCT) were used in 15 patients with RA to evaluate the diagnostic criteria of CA joint involvement. Symptoms owing to CA joint involvement were present in 66.6% of the patients. The frequency of involvement was 13.3% on laryngeal endoscopy but 80.0% with HRCT assessment. The most common HRCT findings were CA prominence (46.6%), density and volume changes (46.6%), and CA subluxation (39.9%). In some of the patients, soft tissue swelling (20%) near the CA joint and narrowing in the piriform sinus (33.3%) were also observed. Radiologic abnormalities related to CA joint involvement generally precede clinical symptomatology. Therefore, HRCT evaluation may be a useful method in the assessment of CA joint involvement in RA patients to exclude possible causes of laryngeal signs and symptoms. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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