Characteristics of polypoid lesions in patients undergoing microsurgery of the larynx
| Autor: | Jorge Massaaki Ido Filho, Evaldo Dacheux de Macedo Filho, Osvaldo Malafaia, Bettina Carvalho, Henrique Jorge Stahlke, Guilherme Simas do Amaral Catani, Flavio Massao Mizoguchi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Larynx
medicine.medical_specialty Microsurgery Cord medicine.medical_treatment lcsh:Medicine Vocal Cords Speech therapy Article Polyps otorhinolaryngologic diseases Medicine In patient Right vocal fold neoplasms business.industry lcsh:R Polyp size pathological conditions signs and symptoms lcsh:Otorhinolaryngology lcsh:RF1-547 digestive system diseases Surgery medicine.anatomical_structure surgical procedures operative Otorhinolaryngology business Vocal tract |
| Zdroj: | International Archives of Otorhinolaryngology International Archives of Otorhinolaryngology, Volume: 17, Issue: 3, Pages: 279-284, Published: SEP 2013 International Archives of Otorhinolaryngology, Vol 17, Iss 03, Pp 279-284 (2013) International Archives of Otorhinolaryngology v.17 n.3 2013 Fundação Otorrinolaringologia (FORL) instacron:FORL |
| ISSN: | 1809-4864 1809-9777 |
| Popis: | Summary Introduction: Dysphonia is the main symptom of lesions that affect the vocal tract. Many of those lesions may require surgical treatment. Polyps are one of the most common forms of vocal cord lesions and the most prevalent indication for laryngeal microsurgery. There are different types of polyps, and their different characteristics can indicate different prognosis and treatments. Aim: To conduct a comparative study of polypoid lesions (angiomatous and gelatinous) in patients undergoing laryngeal microsurgery via an electronic protocol. Method: We prospectively evaluated 93 patients diagnosed with vocal fold polyps; the polyps were classified as angiomatous or gelatinous. Results: In total, 93 patients undergoing laryngeal microsurgery were diagnosed with vocal fold polyps. Of these, 63 (64.74%) had angiomatous and 30 (32.26%) gelatinous polyps. Most patients with angiomatous polyps were men; their polyps were frequently of medium size, positioned in the middle third of the vocal fold, and accompanied by minimal structural alterations (MSA). In contrast, the majority of patients with gelatinous polyps were women; their polyps were smaller, positioned in the middle and posterior third of the vocal fold, and were not accompanied by MSA. Both types of polyps were more frequently located on the right vocal fold. Conclusion: Angiomatous polyps were more frequently encountered than gelatinous polyps. In addition, correlations between polyp type and sex, polyp size, position, location, and the presence of MSA were observed. Different surgical techniques were used, but the postoperative results were similar and satisfactory after speech therapy. |
| Databáze: | OpenAIRE |
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