Reinke's Edema

Question 1

Reinke’s edema

Answer 1

formation of diffuse polypoid swelling by the accumulation of fluid under the vf cover in Reinke’s space along the entire length of the membranous vf

Question 2

Reinke’s space

Answer 2

combination of the epithelium and superifical layer of the lamina propria

Question 3

___ ___ is more extensive than polyps

Answer 3

polypoid degeneration

Question 4

Reinke’s edema increases ___ but decreases ___ within the vfs

Answer 4

mass, stiffness

Question 5

the vfs have the appearance of…

Answer 5

elephant ears

Question 6

Reinke’s edema is always…

Answer 6

bilateral and assymetrical

Question 7

fluid for Reinke’s edema is…

Answer 7

jell-like

Question 8

can have ___ patterns of ___

Answer 8

irregular, closure

Question 9

etiologies of Reinke’s edema

Answer 9

• primary cause is smoking and alcohol consumption
• don’t typically develop laryngeal cancer
• once you have it, the vfs will never go back to normal

Question 10

symptoms of Reinke’s edema

Answer 10

• severe and persistent hoarseness
• potential to significantly compromise the airway
• stridor

Question 11

definition of stridor

Answer 11

noisy breathing

Question 12

information on stridor

Answer 12

• hear on inhalation and exhalation
• always atypical and a cause for concern
• can be benign (allergies)

Question 13

stridor can be caused by something within the airway that is…

Answer 13

interfering with the smooth flow of air during inhalation and exhalation

Question 14

if unable to get rid of stridor by throat clearing…

Answer 14

then the patient needs to be seen by a professional

Question 15

stridor can be a sign of one of these 4 conditions

Answer 15

1. laryngomalasia
2. tracheomalasia
3. subglottic stinosis,
4. cleft larynx

Question 16

what condition can result in structures turning blue (face, lips, nail beds, skin underneath fingernails)?

Answer 16

ASK KORA

Question 17

management

Answer 17

• speech therapy not initially because it won’t reduce size of lesion
• surgery required if patient wants it addressed

Question 18

surgery required if patient wants it addressed, can be addressed 1 of 2 ways

Answer 18

1. lasers in the office
2. under general anesthesia

Question 19

why is surgery under general anesthesia generally preferred?

Answer 19

• have a better effect
• removing so much that normal voice will not be possible

Question 20

doctor might medically treat the conditions that lead to it

Answer 20

smoking or alcohol cessation

Question 21

management of Reinke’s edema: SLP role

Answer 21

• functionally the best voice possibe
• adjust phonatory style to eliminate habitual misuses
• vocal use as hygenic as possible
• good vocal hygiene program
• abuses and misuses that doctor did not address
• psychosocial counseling

Question 22

psychosocial counseling is within the scop of practice for the SLP as long as…

Answer 22

it’s related to a communication disorder