Reinke's edema .pptx

Definition: Accumulation of fluid in Reinke’s space
Synonyms
Bilateral diffuse polyposis, Smoker’s polyps, Polypoid corditis, Polypoid degeneration of vocal cords, Localized hypertrophic laryngitis
10% of benign laryngeal lesions of larynx

1. Reinke’s edema Dr. Krishna Koirala

2. Definition: Accumulation of fluid in Reinke’s space Synonyms Bilateral diffuse polyposis, Smoker’s polyps, Polypoid corditis, Polypoid degeneration of vocal cords, Localized hypertrophic laryngitis 10% of benign laryngeal lesions of larynx

3. Etiology Irritants : tobacco smoke, dry air, dust, alcohol Laryngeal allergy Infection: chronic sinusitis Idiopathic Edema limited to superior surface of vocal cord (dense fibrous attachment to conus elasticus on undersurface of vocal cord)

4. Clinical Features Common in men b/w 30 – 60 years Hoarseness : monotonous low-pitch Diplophonia : asymmetric vocal cord involvement Stridor : B/L gross edema Early cases :  ed convexity of medial cord margin Late cases Pale, watery bags of fluid on superior surface of vocal cords, move to & fro on phonation Fusiform swelling of the vocal cords

5. Treatment Elimination of causative factors (Stop smoking) Vocal cord stripping (decortication) under MLS Postero -anterior incision made on superior vocal cord surface → edematous fluid sucked out → edematous tissue removed with cup forceps Voice therapy : 1 wk before & 3 wks after surgery