Bamboo Nodes of Vocal Folds: A Description of 10 Cases and Review of the Literature

Todic, Jelena; Schweizer, Valérie; Leuchter, Igor

doi:10.1159/000487925

Cited by 14 publications

(17 citation statements)

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“…In previous reports, BN was most frequently suffered by women. [6,20,23] However, in our series, we recognized BNs in 6 men, with the female male ratio of 1.3:1. BNs that suffered by male patient have been rarely reported in the literature.…”

Section: Discussioncontrasting

confidence: 46%

“…The diagnosis of BN of vocal cords is based on laryngoscopy, which showing unique creamy transverse submucosal bands on the cephalic surface of the mid portion of the membranous vocal folds, isolated or multiple, bilateral involvement of vocal folds is more frequent than unilateral involvement. [20] BN is usually associated with autoimmune diseases, such as SLE, RA, SS, autoimmune hepatitis, Hashimoto thyroiditis, progressive systemic sclerosis, MCTD and AS. [7,20,21,23] In most cases, BN was recognized in patients with pre-existing autoimmune disease, occasionally before the diagnosis of the autoimmune disease.…”

Section: Discussionmentioning

confidence: 99%

“…[20] BN is usually associated with autoimmune diseases, such as SLE, RA, SS, autoimmune hepatitis, Hashimoto thyroiditis, progressive systemic sclerosis, MCTD and AS. [7,20,21,23] In most cases, BN was recognized in patients with pre-existing autoimmune disease, occasionally before the diagnosis of the autoimmune disease. BN can be isolated with or without serologic abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…BN were mostly associated with autoimmune diseases and always suffered by women according to the literature. [20,23] In the current study, we retrospectively investigate the symptoms, characteristics and treatment 14 cases of BN for the purpose to enrich the understanding of this rare disease. To our knowledge, this is the third largest series of BN reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Bamboo Nodes of Vocal Fold—A Clinical Study of 14 Cases

Wang

2021

Chinese Medical Sciences Journal

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Objective Bamboo node (BN) of vocal folds is a rare disease which is mostly associated with autoimmune diseases and always involves women as reported in literature. The purpose of this study is to investigate the clinical characteristics and the treatment of BN in a series of cases with Bamboo nodes. Methods We retrospectively collected and reviewed clinical information of all patients who presenting bamboo nodes by fibreoptic laryngoscopy from 2011 to 2020 in our hospital, including the democratic information, clinical symptoms, associated autoimmune diseases, voice abuse, treatments, and outcomes. Patients were followed up periodically at clinics with fibreoptic laryngoscopy and/or voice recovery evaluation. The voice recovery was evaluated by the self-assessed voice visual analog scale (VAS). Results Totally 14 patients were diagnosis as BN and were included in the study. BN involved both women (8/14, 57.1%) and men (6/14, 42.9%). Bilateral lesions were found in 13 patients (92.9%). The most common symptoms of BN were hoarseness (100%). Ten (71.4%) of 14 patients experienced voice abuse. Thirteen (92.9%) of them were concomitant with autoimmunity disease, and received medication for the underlying autoimmune diseases; one patient received anti-acid treatment for the gastroesophageal reflux disease. Voice rests were performed in all patients. Voice recovered completely in 3 cases (3/14), improved remarkably in 8 cases (8/14), improved slightly in 1 case (1/14), and no improvement in 2 cases (2/14). Conclusions: BNs are mostly associated with autoimmune disease and vocal abuse. It may occur in both females and males. Conservative treatment for the underlying autoimmune diseases and vocal rest are beneficial to voice recovery in most of the patients, and can be used as the first choice of treatment.

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Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bamboo Nodes of Vocal Fold—A Clinical Study of 14 Cases

Wang

2021

Chinese Medical Sciences Journal

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“…Corticosteroids are also helpful in some autoimmune disorders involving the larynx, such as systemic lupus erythematosus, sarcoidosis, and granulomatosis with polyangiitis. 276-278…”

Section: Guideline Key Action Statementsmentioning

confidence: 99%

Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)

Stachler

Francis

Schwartz

et al. 2018

Otolaryngol.--head neck surg.

242

204

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Objective. This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. Dysphonia affects nearly one-third of the population at some point in its life. This guideline applies to all age groups evaluated in a setting where dysphonia would be identified or managed. It is intended for all clinicians who are likely to diagnose and treat patients with dysphonia.Purpose. The primary purpose of this guideline is to improve the quality of care for patients with dysphonia, based on current best evidence. Expert consensus to fill evidence gaps, when used, is explicitly stated and supported with a detailed evidence profile for transparency. Specific objectives of the guideline are to reduce inappropriate variations in care, produce optimal health outcomes, and minimize harm.For this guideline update, the American Academy of Otolaryngology-Head and Neck Surgery Foundation selected a panel representing the fields of advanced practice nursing, bronchoesophagology, consumer advocacy, family medicine, geriatric medicine, internal medicine, laryngology, neurology, otolaryngology-head and neck surgery, pediatrics, professional voice, pulmonology, and speech-language pathology.Action Statements. The guideline update group made strong recommendations for the following key action statements (KASs): (1) Clinicians should assess the patient with dysphonia by history and physical examination to identify factors where expedited laryngeal evaluation is indicated. These include, but are not limited to, recent surgical procedures involving the head, neck, or chest; recent endotracheal intubation; presence of concomitant neck mass; respiratory distress or stridor; history of tobacco abuse; and whether the patient is a professional voice user. (2) Clinicians should advocate voice therapy for patients with dysphonia from a cause amenable to voice therapy.The guideline update group made recommendations for the following KASs: (1) Clinicians should identify dysphonia in a patient with altered voice quality, pitch, loudness, or vocal effort that impairs communication or reduces quality of life (QOL). (2) Clinicians should assess the patient with dysphonia by history and physical examination for underlying causes of dysphonia and factors that modify management. (3) Clinicians should perform laryngoscopy, or refer to a clinician who can perform laryngoscopy, when dysphonia fails to resolve or improve within 4 weeks or irrespective of duration if a serious underlying cause is suspected. (4) Clinicians should perform diagnostic laryngoscopy, or refer to a clinician who can perform diagnostic laryngoscopy, before prescribing voice therapy and document/communicate the results to the speech-language pathologist (SLP). (5) Clinicians should advocate for surgery as a therapeutic option for patients with dysphonia with conditions amenable to surgical intervention, such as su...

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