Unusual case of Reinke's oedema.
| Autor: | Pillai R; Department of Ear, Nose and Throat Surgery, The Royal London Hospital, Bart's NHS Trust, London, UK drraji.r.pillai@gmail.com., Sawaryn M; Department of Anaesthesia, The Royal London Hospital, London, UK., Ross T; Department of Ear, Nose and Throat Surgery, The Royal London Hospital, Bart's NHS Trust, London, UK.; UCL Ear Institute, University College London, London, UK., Ahmed J; Department of Ear, Nose and Throat Surgery, The Royal London Hospital, Bart's NHS Trust, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2024 Jul 08; Vol. 17 (7). Date of Electronic Publication: 2024 Jul 08. |
| DOI: | 10.1136/bcr-2023-259492 |
| Abstrakt: | This case report describes a man in his mid 40s, with a history of chronic smoking, who presented with dysphonia. He underwent microlaryngoscopy and biopsy for a suspicious lesion on the anterior right vocal cord. Mask ventilation proved difficult on induction of general anaesthesia due to a solid lesion acting as a ball valve into the glottis. This mass was LASER debulked and sent for histopathology. This demonstrated a haematoma, likely traumatic in origin, with some polypoidal features, consistent with advanced Reinke's oedema. Reinke's oedema is a benign condition where chronic inflammation causes fluid accumulation within the vocal cords. Long-standing inflammation leads to disarrangement of the vocal cord lamina propria, causing fluid accumulation and thereby resulting oedema of the vocal cords. This process can subsequently lead to polyp formation and can cause gravelly voice. This case report describes the potential airway sequelae of this benign condition. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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