Reinke's edema management and voice outcomes
Abstract Objectives Reinke's edema is a chronic disease of the respiratory tract that occurs in adults with a history of chronic smoke exposure. Also known as polypoid corditis, polypoid laryngitis, and polypoid degeneration of the vocal fold, it is strongly associated with smoking, frequently...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-08-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.840 |
| _version_ | 1818000612835459072 |
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| author | Karuna Dewan Dinesh K. Chhetri Henry Hoffman |
| author_facet | Karuna Dewan Dinesh K. Chhetri Henry Hoffman |
| author_sort | Karuna Dewan |
| collection | DOAJ |
| description | Abstract Objectives Reinke's edema is a chronic disease of the respiratory tract that occurs in adults with a history of chronic smoke exposure. Also known as polypoid corditis, polypoid laryngitis, and polypoid degeneration of the vocal fold, it is strongly associated with smoking, frequently with vocal misuse/abuse, and occasionally with laryngopharyngeal reflux. Reinke's edema remains a cause of chronic dysphonia that is difficult to manage. This review provides perspectives on current and future management of Reinke's edema. Results Reinke's edema impacts <1% of the population. The excessive mass is seen in polypoid degeneration results in a loss of pitch control and a rough voice. Women are more likely to present for treatment as the characteristic lowering of vocal pitch is more noticeable in women than men. Multiple grading systems have been proposed within the literature. The current standard of care is surgical excision, after smoking cessation. The microflap technique remains the approach of choice for bulky lesions. Surgical management of Reinke's edema has evolved with the introduction of various lasers into otolaryngologic practice; some which can now be used in the office setting. While many management approaches have been described within the literature, there is a little direct comparison and no obvious superior method of Reinke's edema management. Conclusion To date, the biology of Reinke's edema is not well understood. Additional research is needed further elucidate the role of uncontrolled reflux in the development and recurrence of Reinke's edema. |
| first_indexed | 2024-04-14T03:23:48Z |
| format | Article |
| id | doaj.art-81421267e4e24db78acfc604f435af8c |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-04-14T03:23:48Z |
| publishDate | 2022-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-81421267e4e24db78acfc604f435af8c2022-12-22T02:15:14ZengWileyLaryngoscope Investigative Otolaryngology2378-80382022-08-01741042105010.1002/lio2.840Reinke's edema management and voice outcomesKaruna Dewan0Dinesh K. Chhetri1Henry Hoffman2Department of Otolaryngology—Head and Neck Surgery Louisiana State University Shreveport Louisiana USADepartment of Head and Neck Surgery David Geffen School of Medicine at University of California Los Angeles Los Angeles California USADepartment of Otolaryngology—Head and Neck Surgery University of Iowa Hospitals and Clinics Iowa City Iowa USAAbstract Objectives Reinke's edema is a chronic disease of the respiratory tract that occurs in adults with a history of chronic smoke exposure. Also known as polypoid corditis, polypoid laryngitis, and polypoid degeneration of the vocal fold, it is strongly associated with smoking, frequently with vocal misuse/abuse, and occasionally with laryngopharyngeal reflux. Reinke's edema remains a cause of chronic dysphonia that is difficult to manage. This review provides perspectives on current and future management of Reinke's edema. Results Reinke's edema impacts <1% of the population. The excessive mass is seen in polypoid degeneration results in a loss of pitch control and a rough voice. Women are more likely to present for treatment as the characteristic lowering of vocal pitch is more noticeable in women than men. Multiple grading systems have been proposed within the literature. The current standard of care is surgical excision, after smoking cessation. The microflap technique remains the approach of choice for bulky lesions. Surgical management of Reinke's edema has evolved with the introduction of various lasers into otolaryngologic practice; some which can now be used in the office setting. While many management approaches have been described within the literature, there is a little direct comparison and no obvious superior method of Reinke's edema management. Conclusion To date, the biology of Reinke's edema is not well understood. Additional research is needed further elucidate the role of uncontrolled reflux in the development and recurrence of Reinke's edema.https://doi.org/10.1002/lio2.840dysphoniapolypoid corditisReinke's edemasmoking |
| spellingShingle | Karuna Dewan Dinesh K. Chhetri Henry Hoffman Reinke's edema management and voice outcomes Laryngoscope Investigative Otolaryngology dysphonia polypoid corditis Reinke's edema smoking |
| title | Reinke's edema management and voice outcomes |
| title_full | Reinke's edema management and voice outcomes |
| title_fullStr | Reinke's edema management and voice outcomes |
| title_full_unstemmed | Reinke's edema management and voice outcomes |
| title_short | Reinke's edema management and voice outcomes |
| title_sort | reinke s edema management and voice outcomes |
| topic | dysphonia polypoid corditis Reinke's edema smoking |
| url | https://doi.org/10.1002/lio2.840 |
| work_keys_str_mv | AT karunadewan reinkesedemamanagementandvoiceoutcomes AT dineshkchhetri reinkesedemamanagementandvoiceoutcomes AT henryhoffman reinkesedemamanagementandvoiceoutcomes |