BENIGN CONDITIONS OF LARYNX Flashcards

(31 cards)

1
Q

What is Reinke’s Edema

A

Bilateral symmetrical fusiform subepithelial swelling of the vocal cords

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2
Q

Reinke’s edema is most commonly seen in?

A

Middle aged men and women

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3
Q

What is the etiology of Reinke’s edema?

A

Smoking
Misuse of voice
Chronic sinusitis

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4
Q

Amyloid tumors in the larynx are associated with ____________ and ____________

A

Autoimmune diseases
Multiple myeloma

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5
Q

The amyloid tumor presents as _________ mass that can be removed surgically

A

submucosal

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6
Q

Symptom of amyloid tumor in the larynx

A

Hoarseness

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7
Q

What is intubation granuloma?

A

The lesion presents bilaterally on the posterior third of vocal cords usually due to rough or prolonged intubation/ intubation performed with a large tube

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8
Q

Management of intubation granuloma

A

Rest the voice box
Endoscopic removal of granuloma

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9
Q

What is vocal contact ulcer granuloma?

A

Arytenoid vocal process hammer each other causing ulcers and congestion of the mucosa → granuloma formed

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10
Q

Etiology of Contact Ulcer granuloma

A

Misuse of voice
Gastric reflux

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11
Q

What are the symptoms of vocal contact ulcer granuloma?

A

Hoarseness
Desire to clean the throat
Pain on phonation

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12
Q

Management of VCUG

A

Antireflux therapy
Speech therapy
Intralesional injection/Inhaled steroids
Micro laryngeal surgey

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13
Q

Management of VCUG

A

Antireflux therapy
Speech therapy
Intralesional injection/Inhaled steroids
Micro laryngeal surgery

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14
Q

Explain the features of vocal nodules

A

Bilateral nodules on the Anterior 1/3 and posterior 2/3 of the cord usually seen in singers, teachers, actors.
Hyperplastic epithelium

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15
Q

Management of vocal nodules

A

Use less voice - small nodules
Surgery/Operating microscope/Cold instrument/Laser for large nodule

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16
Q

Explain features of vocal polyp

A

Unilateral
Present on anterior 1/3 and posterior 2/3 junction
Presents as hoarseness, stridor, dyspnea, choking, and diplophonia

17
Q

Etiology of vocal polyp

A

Allergy
Smoking
Misuse of voice

18
Q

What is laryngocele?

A

Air-filled cystic swelling when the ventricles enlarge and become abnormally dilated

19
Q

What are the symptoms of laryngocele?

A

It presents with hoarseness, cough and, if large, airway obstruction
It might be associated with carcinoma

20
Q

Types of laryngocele

A

Internal
External (herniated)
Combined

21
Q

Who are at risk of developing laryngocele?

A

Trumpet players

22
Q

Presentation of external laryngocele

A

An external laryngocele is a reducible bulge in the neck which increases on coughing or on performing Valsalva.

23
Q

What is the treatment of laryngocele?

A

Excision
Marsupilization

24
Q

What are the types of squamous papilloma?

A

Juvenile (viral in origin)
Adult onset (30-50 years, males)

25
____________ virus predisposes the child to get squamous papilloma.
HPV 6 and 11
26
Location of Squamous papilloma
Juvenile → Supraglottic, Glottic Adult onset → Anterior 1/2 of vocal cord or Anterior commissure
27
____________ papilloma, in contrast to ____________ type, does not recur after surgical removal
Adult-onset papilloma, in contrast to juvenile type, does not recur after surgical removal
28
Treatment of squamous papilloma
Microlaryngeal surgery CO2 laser CUp forceps debrider Interferon Alpha 2 Cl
29
Chrondroma Which cartilage? Symptoms? Dx Treatment
Cricoid cartilage Dyspnea, lump in the throat CT, Biopsy (CO2 laser) Excison by laryngofissure or lateral pharyngotomy or laryngectomy is tumor is large
30
Hemangioma Types? Location? Symptoms? Treatment?
Juvenile (capillary) → Subglottic → Stridor in first 6 months → Tracheostomy and CO2 laser Adult (cavernous) → Supraglottic or glottic → Obstruction and Hoarseness → Steroids and Radiotherapy
31
What are the features of Granular cell tumor?
Schwann cells in submucosa Pseudoepitheliomatous hyperplasia resembling well differentiated CA Tx is excision