Cricothyroid Joint Abnormalities in Patients With Rheumatoid Arthritis

Berjawi, Ghina; Uthman, Imad; Mahfoud, Lorice; Husseini, Sami Tanbouzi; Nassar, Jihad; Kotobi, Aghiad; Hamdan, Abdul‐Latif

doi:10.1016/j.jvoice.2009.06.005

Cited by 21 publications

(13 citation statements)

References 18 publications

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“…The authors of this paper has previously reported on the structural and functional abnormalities of the cricothyroid joint in 11 patients with advanced RA. The results indicated that almost half the patients had loss of range compared to none in controls, two-thirds had mild-to-moderate vocal fatigue compared to one-fourth of the control group, and 38% had hoarseness compared to 25% in control [28]. …”

Section: Methodsmentioning

confidence: 99%

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Laryngeal Manifestations of Rheumatoid Arthritis

Hamdan

Sarieddine

2013

Autoimmune Diseases

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Rheumatoid arthritis is a destructive autoimmune disease that affects 3% of the adult population. It is characterized by the formation of both articular and extra-articular lesions with predilection for small joints. There are ubiquitous reports on the head and neck manifestations of RA with emphasis on the larynx. The laryngeal presenting features of this systemic disease may mimic a plethora of medical conditions, inflammatory and neoplastic. The main phonatory and respiratory symptoms are often subtle and misleading. This paper represents a literature review of the laryngeal manifestations of RA with emphasis on the clinical symptoms, laryngeal findings, diagnosis, and treatment. An early diagnosis of laryngeal involvement may prevent drastic complications.

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Section: Methodsmentioning

confidence: 99%

“…The findings indicated narrowing of the CTJ in 81.8% and ankylosis in 9.1% compared with none in the control group. Almost half of the subjects had an increase in the CTJ density compared to 12.5% in the control group [28]. …”

Section: Methodsmentioning

confidence: 99%

Laryngeal Manifestations of Rheumatoid Arthritis

Hamdan

Sarieddine

2013

Autoimmune Diseases

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“…The former can be detected on videostroboscopy, due to alterations in the vibratory pattern, which may include reduced or absent amplitude of the mucosal wave. However, voice changes may also be associated with cricoarytenoid joint involvement in up to two-third of cases [41][42][43], which, in turn, can result in an increase of the translaryngeal resistance during phonation [44,45].…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Involvement in Connective Tissue Disorders. Is it Important for Patient Management?

Iacovou

Vlastarakos

Nikolopoulos³

2012

Indian J Otolaryngol Head Neck Surg

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Connective tissue disorders (CTDs) involve multiple organ systems and may have a significant impact on the overall health and quality of life of the affected individuals. The present paper aims to review the current knowledge on the laryngeal manifestations of CDTs, and describe the available diagnostic and treatment options. Systematic literature review in Medline and other database sources. Information from related books was also included. Prospective controlled, double-blind prospective, prospective, and transversal cohort studies, case series, case reports, systematic reviews, and consensus papers. Laryngeal involvement mostly occurs in rheumatoid arthritis (13-75% of patients). It is not uncommon in active and progressive clinical course, though can also occur in silent or inactive CDTs. The crico-arytenoid joint is the most commonly affected site. Common symptoms include throat pain, dyphonia and hoarseness. Careful clinical assessment of the larynx by flexible naso-endoscopy, video-stroboscopy, or direct laryngoscopy, and appropriate imaging are required for pertinent patient management. Stridor is a sign of a life-threatening condition, and may require prompt surgical intervention. However, mild symptomatology may mislead clinicians, and the related diagnosis may be significantly delayed. The current evidence as identified in the present study suggest that laryngeal manifestations of CDTs are often underdiagnosed, due to a range of nonspecific symptoms. A multidisciplinary team approach with ENT input is necessary to improve the overall patient management.

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“…Laryngeal involvement of RA may be visible on high-resolution computed tomographic (HRCT) scan, manifesting as erosion of periarticular cartilage, joint narrowing, or fusion of the cricothyroid and cricoarytenoid joints. 9,10 On HRCT, freestanding bronchiectasis (as opposed to traction bronchiectasis secondary to fibrosis) tends to be of a cylindrical morphology, 5 localized as opposed to pan lobar, 5 predominates in the lower lobes, 4 and is often associated with bronchial wall thickening on HRCT.…”

Section: Airways Diseasementioning

confidence: 99%

Computed Tomographic Imaging in Connective Tissue Diseases

Devaraj

Wells

Hansell³

2019

Semin Respir Crit Care Med

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Pulmonary disease represents a significant extra-articular manifestation in the majority of connective tissue diseases (CTDs). The identification, classification, and staging of pulmonary involvement are centrally important to the management of patients, aiding the prognostication of disease behavior and treatment decisions. We present a review of the high-resolution computed tomographic pulmonary features of CTD in the lung and their significance to the reporting radiologist.

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Cricothyroid Joint Abnormalities in Patients With Rheumatoid Arthritis

Cited by 21 publications

References 18 publications

Laryngeal Manifestations of Rheumatoid Arthritis

Laryngeal Manifestations of Rheumatoid Arthritis

Laryngeal Involvement in Connective Tissue Disorders. Is it Important for Patient Management?

Computed Tomographic Imaging in Connective Tissue Diseases

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