Experience with Reinkes's Oedema

Kosoković, F; Cepelja, I; Vecerina, S; Krajina, Z

doi:10.3109/00016487409126340

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…The goal of this technique is restoration of normal vocal fold anatomy and physiology with minimal disruption of the normal surrounding structure. 8 CO2 laser enucleation of the mucosal surfaces has been proposed Twenty years ago, the super pulse or Ultra Pulse micro spot CO2 lasers have brought distinct advantages to microscopic laryngeal surgery. The small spot decreases the contact to the normal surrounding tissue, restricting the laser energy to the mucosa and the superficial layer of the lamina propria, thus avoiding injury to the deep layer of the lamina propria and muscle.…”

Section: Resultsmentioning

confidence: 99%

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Multiple laser puncture for Reinke’s edema: surgical outcome and voice assessment

Alswaiheb

Motiwala

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: The two important principles in Reinke’s edema treatment are minimal intervention and superficial resection with evacuation the edema and preservation the medial edge of the vocal fold to improve the voice quality. The aim of this study was to evaluate a novel surgical technique in treatment of Reinke’s edema and its effect on subjective and quantitative voice characteristics. The study design was a prospective clinical series.Methods: We evaluated 67 patients from 19 to 73 years (mean, 47.7 years) with Reinke’s edema. The patients were divided into 3 types, mild, moderate and sever. Clinical voice assessment was composed of stroboscopy, subjective voice evaluation (GRBAS hoarseness scale) and quantitative voice evaluation were evaluated pre- and postoperatively. All patients underwent endolaryngeal CO2 laser puncturing for treatment of Reinke’s edema.Results: 67 patients diagnosed as Reinke’s edema were classified by H. Yonekawa classification into three types. Type I 25 (37.3%) patients, type II 30 (44.8%), type III 12 (17.9%). Out of 67 patients, fifty two (77.6%) were smoker. In all the patients, the laryngostrobscopic findings showed an improvement of mucosal wave patterns with little vocal fold scaring. Significant vocal improvement was also noted in subjective and objective voice assessments.Conclusions: The laser puncture technique is safe, effective and less invasive to treat Reinke’s edema with significant improvement in vocal performance after surgery.

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Section: Resultsmentioning

confidence: 99%

“…4 Others proposed removal of fluid through aspiration with preservation of vocal fold medial edges mucosa, and recently many authors investigate the laser coagulation of the epithelial and subepithelial layers. 8 Up to our knowledge no study reported multiple laser puncture technique as primary treatment of Reinke's edema.…”

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confidence: 99%

Multiple laser puncture for Reinke’s edema: surgical outcome and voice assessment

Alswaiheb

Motiwala

2021

Int J Otorhinolaryngol Head Neck Surg

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Extracellular matrix of reinke's space in some pathological conditions

Volić

Klapan

Seiwerth

et al. 2004

Acta Oto-Laryngologica

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Distribuição das fibras colágenas e do sistema de fibras elásticas na camada superficial da lâmina própria da prega vocal com edema de Reinke

Sakae¹

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O único homem que está isento de erros, é aquele que não arrisca acertar." Albert Einstein DedicatóriaAos meus queridos pais, Masao e Junko, por tudo que fazem por mim, pelo apoio incondicional e amor eterno. São os meus ídolos.A minha esposa, Renata, amor da minha vida, pela alegria de viver, companheirismo e incentivo constante.A minha irmã, Cristiane, por ter contribuído em todos os passos de minha vida. AgradecimentosAo meu orientador, Prof. Dr. Domingos Hiroshi Tsuji pela oportunidade e apoio na concretização deste sonho. Sua amizade e franqueza foram essenciais na elaboração deste trabalho. É o grande mestre. Ao Prof. Dr. Luiz Ubirajara Sennes pelos ensinamentos otorrinolaringológicos, pelas diversas oportunidades que ajudaram na minha formação e por tudo que faz na nossa clínica. Ao Dr. Rui Imamura foi fundamental na minha formação médica, a quem tenho uma grande admiração e respeito. Como sempre me ajudou muito, agradeço pela coorientação sincera e valiosa desta tese. Aos Prof(s). Dr. Aroldo Miniti e Dr. Ricardo Ferreira Bento por desenvolverem um trabalho árduo, de muita coragem e perseverança em nossa especialidade. Ao Prof. Dr. Ossamu Butugan é o maior exemplo de sabedoria e humildade, agradeço a todos os seus ensinamentos e conversas amigas nos corredores do Hospital. Ao Prof. Dr. Silvio Marone admiro pela sua bondade e liderança. Agradeço pelo total apoio, confiança e amizade desde o período em que ingressei no serviço da PUC de Campinas. A Dra. Thais Mauad, Profª. Associada do Departamento de Patologia da FMUSP, pela amizade e ajuda imensa na elaboração dos artigos deste trabalho e ao Dr. Luiz Fernando Ferraz, médico patologista, que me ajudou na leitura das lâminas.

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Experience with Reinkes's Oedema

Cited by 5 publications

References 2 publications

Multiple laser puncture for Reinke’s edema: surgical outcome and voice assessment

Multiple laser puncture for Reinke’s edema: surgical outcome and voice assessment

Extracellular matrix of reinke's space in some pathological conditions

Distribuição das fibras colágenas e do sistema de fibras elásticas na camada superficial da lâmina própria da prega vocal com edema de Reinke

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