Chapter 13 : Laryngeal and tracheal manifestation of systemic disease Flashcards
In systemic Wegener’s Granulomatosis, what is the most common site affected in the airway?
The subglottis and trachea
In Relapsing Polychondritis, what is the most common physical exam ENT finding?
Bilateral auricle chondritis
In Sarcoidosis, what is the most common subsite affected in the larynx?
The Epiglottis
What is the classical apperance of a larynx affected by sarcoidosis?
“Turban-like” thickening and nodular appearance of the epiglottis (pic)
In Amyloidosis, where in the larynx is the most common site of deposition of insoluble fibirllar proteins?
Deposition in the true and false vocal folds and the ventricles?
In Amyloidosis, one must also investigate for this specific disease due to its high association
Multiple Myeloma
Rheumatoid arthritis of the larynx has 2 forms, namely its (1) active form as well as its (2) chronic form, differentiate the two in terms of its presentation nand involvement.
In the active form, involvement of the larynx is acute with tenderness and erythema. Laryngoscopic examination often shows red, swollen arytenoids. The chronic form typically causes cricoarytenoid joint involvement with ankylosis.
In Rheumatoid artrhitis of the larynx, apart from the obvious joint involvment, what other phjysical exam finding can be seen?
Submucosal nodules develop in the vocal fold (pic)
In Pemphigous, what is the typical appearance seen in physcal examinatio of the larynx?
A tan fibrinous base due to sloughing off of the epidermis (pic)
What is the most common site involved in Pemphigous in the head and neck?
Oral cavity mucosa
What is the most common site involved in Laryngeal Tuberculosis?
Posterior glottis
What is the most common site involved in Laryngeal Blastomycosis?
True vocal folds with extension to the ventricles
What is unique about Laryngeal Cryptococcus in terms of the site involved?
The true vocal folds are the ONLY site affected
Laryngeal Candidiasis is commonly seen in failures of this procedure?
Tracheoesophageal puncture voice prosthesis
