Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery
Introduction Dysphonia and lower pitch after surgery of Reinke edema are common. They are caused especially due to chronic smoking but, probably, other factors should be associated. Objectives To evaluate the results of laryngeal microsurgery in patients with Reinke edema, following a sta...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-01-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1743463 |
| _version_ | 1797942142099783680 |
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| author | José Luiz Lima Neto Antônio Rodrigues Bueno da Fonseca Elaine Lara Mendes Tavares Andrea Cristina Joia Gramuglia Regina Helena Garcia Martins |
| author_facet | José Luiz Lima Neto Antônio Rodrigues Bueno da Fonseca Elaine Lara Mendes Tavares Andrea Cristina Joia Gramuglia Regina Helena Garcia Martins |
| author_sort | José Luiz Lima Neto |
| collection | DOAJ |
| description | Introduction Dysphonia and lower pitch after surgery of Reinke edema are common. They are caused especially due to chronic smoking but, probably, other factors should be associated.
Objectives To evaluate the results of laryngeal microsurgery in patients with Reinke edema, following a standardized postoperative guidance protocol in our service.
Methods Retrospective study. Thirty patients (3 males; 27 females) were included, 70% between 41 and 60 years old. The parameters analyzed in the pre- and postoperative (between 4 and 6 months) of patients undergoing laryngeal microsurgery for Reinke edema were: smoking, vocal symptoms, videolaryngostroboscopy, voice therapy, perceptual and acoustic vocal evaluation, histopathological report.
Results Smoking was reported by 100% of the patients and maintained in the postoperative period by 80%. Complete improvement of symptoms in the postoperative period was reported by 43% of them, partial improvement by 40%, and maintenance by 17%. There was low adherence to voice therapy in the pre- and postsurgery. Postoperative videolaryngoscopy indicated congestion (19), atrophy and bowed vocal fold (1), subepithelial edema (2), and normal findings (8). The histological findings were subepithelial edema, enlargement of vessels, inflammation, epithelial hyperplasia, and thickening of the basement membrane. The perceptual and acoustic vocal analyzes indicated improvement of the analyzed parameters.
Conclusions The maintenance of some vocal symptoms and laryngeal alterations in videolaryngoscopy after microsurgery of Reinke edema is frequent, even in patients who follow the recommendations of vocal rest and control of gastroesophageal reflux. Vocal symptoms are attributed to changes in the laryngeal mucosa caused by chronic smoking, aggravated by the maintenance of addiction in the postoperative period. |
| first_indexed | 2024-04-10T20:03:46Z |
| format | Article |
| id | doaj.art-867d70cd8b5c4bcc8601ec48bfe228e6 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-04-10T20:03:46Z |
| publishDate | 2023-01-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-867d70cd8b5c4bcc8601ec48bfe228e62023-01-26T23:53:45ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642023-01-012701e77e8210.1055/s-0042-1743463Reinke Edema: Factors that Interfere with Vocal Recovery after SurgeryJosé Luiz Lima Neto0Antônio Rodrigues Bueno da Fonseca1Elaine Lara Mendes Tavares2Andrea Cristina Joia Gramuglia3Regina Helena Garcia Martins4Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Universidade Estadual Paulista Julio de Mesquita Filho, Unesp Botucatu, São Paulo, BrazilDepartment of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Universidade Estadual Paulista Julio de Mesquita Filho, Unesp Botucatu, São Paulo, BrazilDepartment of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Universidade Estadual Paulista Julio de Mesquita Filho, Unesp Botucatu, São Paulo, BrazilDepartment of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Universidade Estadual Paulista Julio de Mesquita Filho, Unesp Botucatu, São Paulo, BrazilDepartment of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Universidade Estadual Paulista Julio de Mesquita Filho, Unesp Botucatu, São Paulo, BrazilIntroduction Dysphonia and lower pitch after surgery of Reinke edema are common. They are caused especially due to chronic smoking but, probably, other factors should be associated. Objectives To evaluate the results of laryngeal microsurgery in patients with Reinke edema, following a standardized postoperative guidance protocol in our service. Methods Retrospective study. Thirty patients (3 males; 27 females) were included, 70% between 41 and 60 years old. The parameters analyzed in the pre- and postoperative (between 4 and 6 months) of patients undergoing laryngeal microsurgery for Reinke edema were: smoking, vocal symptoms, videolaryngostroboscopy, voice therapy, perceptual and acoustic vocal evaluation, histopathological report. Results Smoking was reported by 100% of the patients and maintained in the postoperative period by 80%. Complete improvement of symptoms in the postoperative period was reported by 43% of them, partial improvement by 40%, and maintenance by 17%. There was low adherence to voice therapy in the pre- and postsurgery. Postoperative videolaryngoscopy indicated congestion (19), atrophy and bowed vocal fold (1), subepithelial edema (2), and normal findings (8). The histological findings were subepithelial edema, enlargement of vessels, inflammation, epithelial hyperplasia, and thickening of the basement membrane. The perceptual and acoustic vocal analyzes indicated improvement of the analyzed parameters. Conclusions The maintenance of some vocal symptoms and laryngeal alterations in videolaryngoscopy after microsurgery of Reinke edema is frequent, even in patients who follow the recommendations of vocal rest and control of gastroesophageal reflux. Vocal symptoms are attributed to changes in the laryngeal mucosa caused by chronic smoking, aggravated by the maintenance of addiction in the postoperative period.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1743463reinke edemadysphoniasurgerytreatment |
| spellingShingle | José Luiz Lima Neto Antônio Rodrigues Bueno da Fonseca Elaine Lara Mendes Tavares Andrea Cristina Joia Gramuglia Regina Helena Garcia Martins Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery International Archives of Otorhinolaryngology reinke edema dysphonia surgery treatment |
| title | Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery |
| title_full | Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery |
| title_fullStr | Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery |
| title_full_unstemmed | Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery |
| title_short | Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery |
| title_sort | reinke edema factors that interfere with vocal recovery after surgery |
| topic | reinke edema dysphonia surgery treatment |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1743463 |
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