scholarly journals CLINICO-PATHOLOGICAL CHARACTERISTICS OF BENIGN LARYNGEAL LESIONS OF PATIENTS FROM CENTRAL INDIA

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Devendra Chikara
Keyword(s):  
Vocal Cord ◽  
Correct Diagnosis ◽  
Central India ◽  
Verbal Abuse ◽  
Benign Lesions ◽  
Predisposing Factor ◽  
Main Complaint ◽  
Vocal Cord Polyp ◽  
Laryngeal Lesions ◽  
Benign Laryngeal Lesions

Background: In ENT clinics, benign lesions of the larynx are fairly normal. It is not always simple to have a clinical-histological link, but a correct diagnosis is of the utmost importance. The purpose of the present study was to study the clinical profile of benign lesions of the larynx and histopathological trends. Material and Methods: With indirect laryngoscopy or video laryngoscopy, a total of 100 patients clinically diagnosed as cases of benign laryngeal lesion were examined. Under local or general anaesthesia, direct laryngoscopy was performed. The lesion biopsy was sent for histopathological research. Results: Most of the patients were between 21-30 years old, i.e. 38%. Males were more generally affected (62 percent) than females. The principal concern in (84 percent) of cases was hoarseness or change of speech. In 56 per cent of cases, verbal abuse has been shown to be a predisposing factor. The most common clinical diagnosis was vocal cord nodule in 34 percent of cases, followed by vocal cord polyp in 22 percent of cases. Conclusion: The nodules of the vocal cord are the most common benign laryngeal lesions, causing speech hoarseness as the main complaint. The ENT diagnosis and the pathological diagnosis of benign laryngeal lesions were strongly associated. Keywords: Larynx, benign lesions, hoarseness of voice, histopathology.

scholarly journals A Few Unusual Cases of Benign Laryngeal Lesions - Our Experience

2015 ◽  
Vol 23 (1) ◽  
pp. 26-30
Author(s):  
Sebananda Halder ◽  
Debangshu Ghosh ◽  
Jayanta Saha ◽  
Sumit Kumar Basu
Keyword(s):  
Respiratory Distress ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Clinical Findings ◽  
Diagnostic Tools ◽  
Benign Lesions ◽  
Laryngeal Lesions ◽  
Benign Laryngeal Lesions ◽  
Careful History

Introduction: Benign laryngeal lesions may have some uncommon presentations.  Aims: The aim was to identify unusual benign vocal cord lesions and review their management and follow up.  Material and methods: The records of the patients presenting with different benign vocal cord lesions were reviewed retrospectively. Confirmed cases of vocal cord paralysis and malignancy were excluded from the study. Nine cases were imcluded in this study. Clinical findings, investigation reports, treatment and outcome were analysed.  Results: Most of the patients were from 18 years to 52 years (66%). Most common presenting feature was hoarseness of voice (89%) followed by respiratory distress (33%) . Microlaryngeal surgeries were done in 7 patients (78%) and 2 patients (22%) were  managed conservatively.  Conclusion: Diagnosis of benign vocal cord lesions may sometimes be difficult. Careful history, attention to the anatomy and the probable variations in presentation of the benign lesions of larynx, thorough clinical examination and different diagnostic tools are essential for satisfactory management.

scholarly journals The Importance of Inspiratory Maneuver for Benign Laryngeal Lesions

2020 ◽  
Vol 24 (04) ◽  
pp. e513-e517
Author(s):  
Marília Batista Costa ◽  
Taynara Oliveira Ledo ◽  
Mariana Delgado Fernandes ◽  
Romualdo Suzano Louzeiro Tiago
Keyword(s):  
Vocal Fold ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Simple Method ◽  
Main Complaint ◽  
Laryngeal Lesions ◽  
Before And After ◽  
Sulcus Vocalis ◽  
Benign Laryngeal Lesions

Abstract Introduction Inspiratory maneuver corresponds to a simple method used during videolaryngoscopy to increase characterizations of laryngeal findings, through the movement of the vocal fold cover and exposure of the ligament, facilitating its evaluation. Objective To evaluate the increase in diagnosis of benign laryngeal lesions from the usage of inspiratory maneuvers during videolaryngoscopy in patients with or without vocal complaints. Methods A cross-sectional study performed from March 1 to July 1, 2018, in the Laryngology sector of a tertiary hospital. The age of the patients varied from 18 to 60 years old. They were divided into two groups, symptomatic and asymptomatic vocals, and evaluated through videolaryngoscopy together with inspiratory maneuvers. The exams were recorded and later evaluated by three trained laryngologists who determined the laryngeal lesions before and after the inspiratory maneuver. Results There were 60 patients in this sample, 41 of which were vocal symptomatic and 19 asymptomatic. The majority was female and the main complaint was about dysphonia. Before the inspiratory maneuver, the most observed lesions in both groups were chronic laryngitis, followed by vascular dysgenesis. After the inspiratory maneuver, sulcus vocalis was the most frequent additional finding. Conclusion With the inspiratory maneuver, it was possible to increase the identification of structural lesions in the vocal fold, and the most frequent lesion in patients with or without vocal complaints was sulcus vocalis.

scholarly journals Rehabilitation of a voice function in patients with benign laryngeal lesions after surgical treatment

2019 ◽  
pp. 122-126
Author(s):  
S. V. Starostina ◽  
V. M. Svistushkin ◽  
E. B. Rakunova
Keyword(s):  
Surgical Treatment ◽  
Laser Surgery ◽  
Surgical Excision ◽  
Benign Lesions ◽  
Laser Technique ◽  
Vocal Cords ◽  
Vocal Function ◽  
Laryngeal Lesions ◽  
Benign Laryngeal Lesions ◽  
Postoperative Procedures

Usually benign laryngeal lesions like cysts, polyps and fibrous masses occurs in result of phonotrauma as reactive changes of the mucous of vocal cords. Presence of organic pathology of larynx is a reason of functional voice disorders. 45 patients in age of 18-70 y.o. with benign laryngeal lesions were investigated. All patients underwent microlaryngoscopy with excision of the lesion in inpatient mode. This article describes complex of pre- and postoperative procedures performed to assess the vocal function in patients. For the surgical excision of lesions «cold-steel» instruments, radiofrequently ablation and laser surgery were used. Authors analysed the correlation between complaints, acoustic voice parameters and the process of mucous recovery. Laser technique is recommended for surgical treatment of benign lesions of larynx. Fibrolaryngoscopy, laryngostroboscopy and computer acoustic assessment of vocal parameters are required before voice normalization. Phonotherapy is indicated n case of persistence of dysphonia.

Benign Laryngeal Lesions

2022 ◽  
Author(s):  
Jeffrey Straub ◽  
Brandon Kim
Keyword(s):  
Laser Therapy ◽  
Vocal Fold ◽  
Clinical Presentation ◽  
Benign Tumors ◽  
Vocal Hygiene ◽  
Laryngeal Lesions ◽  
Benign Laryngeal Lesions ◽  
Vocal Fold Nodules

Benign laryngeal lesions represent a diverse set of pathologies whose clinical presentation may range from no symptoms to dyspnea and/or dysphonia. Flexible fiberoptic laryngoscopy and videolaryngostroboscopy are important in distinguishingdifferent types of lesions, and management and treatment are dependent on the identification of these lesions, as they have different etiologies. Some lesions such as vocal fold nodules and polyps are primarily phonotraumatic and may benefit fromspeech therapy and vocal hygiene as initial approaches. Vocal fold cysts and benign tumors may benefit from microlaryngeal approaches, while capillary ectasias, polypoid corditis, laryngoceles, saccular cysts, and papilloma may benefit from laser therapy. Vocal fold granulomas may arise from various etiologies such as intubation, traumatic behaviors, or reflux. Polypoid corditis arises from smoking. This review is intended to provide an overview of the variety of lesions that encompass non-malignant laryngeal lesions that is both suitable for junior and senior residents. This review contains 12 figures, 5 tables, and 64 references Keywords: Benign laryngeal lesions, Laryngocele, Polyp, Cyst, Polypoid Corditis, Papilloma

scholarly journals A Study of Management of Benign Lesions of the Larynx

2011 ◽  
Vol 1 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Pankaj Kumar Doloi ◽  
Swagata Khanna
Keyword(s):  
Cost Effective ◽  
Clinical Findings ◽  
Benign Tumors ◽  
Complete Relief ◽  
Vocal Rehabilitation ◽  
Body Sensation ◽  
Laryngeal Lesions ◽  
Endolaryngeal Surgery ◽  
Microlaryngeal Surgery ◽  
Benign Laryngeal Lesions

ABSTRACT A two-year prospective study was conducted from June 2008 to May 2010. A total of 80 patients with benign laryngeal lesions were included in the study based on symptoms, such as hoarseness of voice, foreign body sensation, vocal fatigue, dyspnea and cough and with positive clinical findings on indirect laryngoscopy. Diagnostic and therapeutic laryngoscopic and microlarygoscopic procedures were employed. Vocal cord polyps were observed to be the commonest type of lesions. Out of the 80 patients in the study group, 40% patients got complete relief with voice rest and vocal rehabilitation; 60% patients required surgery, which included endoscopic/microlarygoscopic endolaryngeal surgery and external approaches. There was no recurrence in cases of vocal polyps and nodules during the period of observation. Endolaryngeal surgery and voice rest offer a cost-effective, useful and safe method for the management of benign laryngeal lesions. With the inclusion of lasers, they can be more precisely operated. As such, the standard treatment of choice in all types of benign tumors of the larynx should consist of a triad of approach by microlaryngeal surgery (either microscopic or endoscopic, with or without use of lasers), voice rest and vocal rehabilitation.

scholarly journals Expression of Serum PTTG1 in Laryngeal Carcinoma and Its Correlation to Prognosis

2020 ◽  
Vol 13 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Kunpeng Ma ◽  
Xiuxia Sun ◽  
Limin Ma ◽  
Shenglin Zhang
Keyword(s):  
Vocal Cord ◽  
Laryngeal Carcinoma ◽  
Clinical Stage ◽  
Clinicopathological Characteristics ◽  
Enzyme Linked Immunosorbent Assay ◽  
Total Survival ◽  
Vocal Cord Polyp ◽  
High Expression Group ◽  
Differentiation Degree ◽  
The Difference

Objectives. The purpose of this study was to investigate serum pituitary tumor transforming gene (PTTG1) expression in laryngeal carcinoma and its relationship with the clinical pathological characteristics and prognosis.Methods. Expression of serum PTTG1 was measured by enzyme-linked immunosorbent assay in 110 patients with laryngeal carcinoma and 60 patients with vocal cord polyps. Expression of the serum PTTG1 levels relationship with the clinicopathological characteristics and prognosis were analyzed.Results. In laryngeal carcinoma patients’ serum, the PTTG1 median concentration was 141.43 pg/mL (interquartile range [IQR], 111.387 to 160.837 pg/mL), significantly higher than that of the vocal cord polyp group of 94.01 pg/mL (IQR, 81.26 to 108.59 pg/mL), and the difference was statistically significant (z=–6.715, P<0.001). PTTG1 expression with lymph node metastasis, clinical stage, and patients with laryngeal carcinoma was significantly correlated with the tumor differentiation degree (P<0.05). The total survival rate of the PTTG1 high expression group was significantly lower than the low expression group, and the difference of total survival time of the two groups was statistically significant (P<0.001).Conclusion. The PTTG1 expression level can be used as an index for evaluating prognosis of laryngeal cancer. High PTTG1 expression is one of the factors of poor prognosis of laryngeal carcinoma patients.

scholarly journals Unilateral Vocal Cord Palsy: An Etiopathological Study

2011 ◽  
Vol 1 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Jayanthy Pavithran
Keyword(s):  
Vocal Cord ◽  
Surgical Procedure ◽  
Artery Bypass ◽  
Correct Diagnosis ◽  
Vocal Cord Palsy ◽  
Surgical Trauma ◽  
Cricoarytenoid Joint ◽  
Changing Trend ◽  
The Right ◽  
Age Range

ABSTRACT Objective The incidence of various causes of unilateral vocal cord palsy (UVCP) has been found to change over time and place. To arrive at the correct diagnosis is important in determining the prognosis as well as the time and mode of intervention. This study intends to evaluate the current etiological profile of unilateral vocal cord palsy in our center and compare it with the previous studies. Methods A retrospective study of case records of all consecutive patients with a diagnosis of UVCP presented to Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, South India in the period between September 2002 and May 2009 was conducted. The exclusion criteria were all laryngeal and hypopharyngeal malignancies, intubation injuries and cricoarytenoid joint ankylosis. Factors taken for analysis were age, gender, side of palsy and etiology. Results A total of 121 cases including 88 males and 33 females in the age range of 2 to 86 years were studied. 61.1% patients had left-sided palsy and 38.8% had right-sided palsy. The incidence of various etiologies were idiopathic (42.1%), surgical trauma (22.3%), nonsurgical trauma (6.61%), nonlaryngeal malignancy (6.61%), central (12.4%) and other benign lesions (9.09%). The incidence of all nonthyroidectomy surgeries together (59.3%) was more than that of thyroidectomy (40.7%). The most common individual surgical procedure was still thyroidectomy (11 cases, 40.7%) followed by coronary artery bypass grafting (CABG) (7 cases, 25.9%). Conclusion Idiopathic vocal cord palsy constituted the major subgroup. Thyroidectomy continues to be the single most common surgical procedure responsible for vocal cord palsy. Cardiac surgeries, trauma and cerebrovascular accidents are also increasingly causing vocal cord palsy, which is suggestive of the changing trend in life style and life expectancy. The right recurrent laryngeal nerve is not at higher risk than the left in thyroid surgery. Benign thyroid swellings also contribute significantly to UVCP.

scholarly journals A Giant Vocal Cord Polyp Mimics Asthma Attack

2018 ◽  
Vol 2 (4) ◽  
pp. 361-362
Author(s):  
Yasuyuki Chida ◽  
Ryota Inokuchi ◽  
Yoshibumi Kumada ◽  
Kazuaki Shinohara
Keyword(s):  
Vocal Cord ◽  
Asthma Attack ◽  
Vocal Cord Polyp

Spectrum of conjunctival tumours in a Spanish series: A review of 462 cases

2019 ◽  
Vol 30 (6) ◽  
pp. 1403-1409
Author(s):  
Luis García Onrubia ◽  
Gabriela Estefanía Pacheco-Callirgos ◽  
Alejandro Portero-Benito ◽  
Ciro García-Álvarez ◽  
Ester Carreño Salas ◽  
...  
Keyword(s):  
Precancerous Lesions ◽  
Case Series ◽  
University Hospital ◽  
Malignant Tumours ◽  
Benign Lesions ◽  
Routine Examination ◽  
Retrospective Case ◽  
Main Complaint ◽  
Oncology Unit ◽  
The University

Introduction: To report the spectrum and frequency of conjunctiva tumours in an ocular oncology unit analysing the clinical profile of benign, precancerous and malignant conjunctival lesions. Methods: A retrospective case series of 462 consecutive patients diagnosed at the Ocular Oncology Unit of the University Hospital of Valladolid from 1992 to 2017. Results: Among 462 consecutive patients, the tumour was classified as melanocytic in 252 (54.5%) and non-melanocytic in 210 (45.5). Two hundred forty-eight males (mean age 51.63 (SD = 23.20)) and 214 females (mean age 48.27 (SD = 21.77)) were included. Mean patient age at diagnosis was 50.07 years (range = 1-92 years). The majority of tumours were benign (n = 307 (66.5%)) followed by precancerous (n = 103 (22.3%)) and finally by malignant ones (n = 52 (11.3%)). Benign lesions were predominantly found in younger individuals rather than premalignant (p < 0.05) and malignant ones (p < 0.05). Most of the melanocytic lesions were benign (88.5%), most epithelial ones were precancerous (61.4%) and most lymphoid lesions were malignant (56.3%). Tumours involving one or four quadrants of the ocular surface usually were benign, unlike tumours involving three quadrants that were malignant (16 (48.5%) p < 0.05). The majority of benign lesions were detected on females (n = 163 (53.1%)) by routine examination (n = 178 (86.4%)). However, main complaint in malignant tumours was the growth of the lesion (n = 39 (76.5%)). Conclusion: Most of the conjunctival tumours were melanocytic, mostly benign, closely followed by those of epithelial origin, with a predominance of precancerous lesions. Melanocytic, epithelial and lymphoid tumours accounted for over 90% of cases. A trend was identified with benign lesions being found in younger female patients on routine examination.

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