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Methods of sparing surgical treatment of chronic edematous-polypous laryngitis, edema Reinke

Medicinskij sovet, 2021-12 (18), p.184-191 [Peer Reviewed Journal]

ISSN: 2079-701X ;EISSN: 2658-5790 ;DOI: 10.21518/2079-701X-2021-18-184-191

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  • Title:
    Methods of sparing surgical treatment of chronic edematous-polypous laryngitis, edema Reinke
  • Author: Abdullaev, B. Z. ; Nazhmudinov, I. I. ; Davudov, Kh. Sh ; Garashchenko, T. I. ; Guseynov, I. Kh ; Khoranova, M. Yu ; Koshel, I. V.
  • Subjects: chronic laryngitis ; co2 laser ; dysphonia ; edema reinke ; maximum phonation time ; voice handicap index (vhi-30)
  • Is Part Of: Medicinskij sovet, 2021-12 (18), p.184-191
  • Description: Introduction . Laryngeal pathology occupies a leading place in the general structure of diseases of the upper respiratory tract, chronic edematous-polypous laryngitis, Reinke-Gayek edema accounts for 5.5% of all benign diseases of the vocal folds. The main method of treating Reinke-Gayek's disease is surgical treatment, which consists in removing excess mucosa, or “stripping” - tearing a strip of mucosa with forceps from the vocal fold. One of the main principles of laryngeal surgery is the maximum preservation of the structures of the vocal fold, obtaining a flexible vibration of the muscular-membranous part and the mucous membrane of the vocal fold. Purpose . The purpose of our work is to improve the effectiveness of treatment of chronic edematous-polypous laryngitis using a CO 2 laser. Tasks . To develop a differentiated approach to the surgical treatment of chronic edematous-polypous laryngitis using a carbon dioxide laser. Materials and Methods . We treated 46 patients with Reinke-Gayek disease, including 35 women and 11 men. The age of the patients ranged from 40 to 67 years. Preoperative examination included endoscopic examination, laryngostroboscopy. The type was determined according to the classification of H. Yonekawa, for the choice of further surgical tactics. In type II, an incision of the mucosa, aspiration of gelatinous matter from the Reinke space, and laying of the mucosa were performed. With type III, it is made by forming M-shaped flap to close the defect. Results . All patients in the preoperative period were surveyed with the VOICE HANDICAP INDEX(VHI-30) questionnaire, laryn-gostroboscopy, and maximum phonation time. In the postoperative period, the examination was performed twice, 1 month after the operation and 3 months after the operation. There is a significant increase in indicators, an increase in the maximum phonation time, a decrease in VHI-30 points. Conclusion . The use of this technique allowed to significantly accelerate the recovery of the voice, reduce the time spent in the hospital, minimally damaging the structure of the mucous membrane of the vocal folds.
  • Publisher: Remedium Group LLC
  • Language: English;Russian
  • Identifier: ISSN: 2079-701X
    EISSN: 2658-5790
    DOI: 10.21518/2079-701X-2021-18-184-191
  • Source: DOAJ Directory of Open Access Journals
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