Laryngeal tubercolosis: a case report with focus on voice assessment and review of the literature

Migliorelli, Andrea; Mazzocco, Tommaso; Bonsembiante, Anna; Bugada, Daniele; Fantini, Marco; Elli, Fabrizia; Stacchini, Marco

doi:10.14639/0392-100x-n2091

Cited by 11 publications

(9 citation statements)

References 29 publications

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“…The patient who experienced bilateral SSNHL also had bilateral peripheral vestibular hypofunction and was subsequently diagnosed with Cogan’s syndrome. Cogan’s syndrome, a rare autoimmune disease primarily affecting young adults, is marked by non-syphilitic interstitial keratitis and audio-vestibular symptoms; in particular, SSNHL, irrespective of its association with vestibular symptoms, can be the initial manifestation of this syndrome [ 19 ]. Although some authors have suggested that younger age is a favorable prognostic factor for SSNHL [ 20 , 21 , 22 , 23 ], our data showed that only one in five patients had complete recovery of the HT.…”

Section: Discussionmentioning

confidence: 99%

Sudden Sensorineural Hearing Loss in Patients Aged from 15 to 40 Years

Aldè,

Ambrosetti,

Piatti

et al. 2024

JCM

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Objectives: The purpose of this study was to investigate the hearing characteristics and causes of sudden sensorineural hearing loss (SSNHL) in patients aged from 15 to 40 years, focusing on audiological outcomes one year after the diagnosis. Methods: The medical records of individuals with SSNHL who were referred to our tertiary-level audiologic center were reviewed. All patients had undergone comprehensive diagnostic evaluations, including high-resolution 3D-FLAIR delayed magnetic resonance imaging (MRI), cone beam computed tomography (CBCT), and screening for coagulation, infectious, and autoimmune diseases. Results: Overall, 56 patients (mean age 28.1 ± 7.6 years) were included in the study. The hearing threshold in the affected ear improved significantly from 56.0 ± 18.0 dB at the diagnosis to 46.9 ± 22.3 dB after one year (p = 0.02). The degree of hearing loss, audiometric configurations, hearing improvements, and adherence to hearing treatments showed considerable variability among patients. Aural fullness, tinnitus, and hyperacusis were the predominant symptoms associated with SSNHL, and their prevalence decreased significantly over time. The diagnostic protocol led to the identification of the specific cause of SSNHL in 75% (42/56) of patients. The known etiology was found to be otological (39.3%), infectious (21.4%), autoimmune (7.1%), vascular (5.4%), or neoplastic (1.8%). In particular, Menière’s disease (n = 12), isolated cochlear endolymphatic hydrops (n = 6), HSV-1 (n = 5), and EBV (n = 4) infections were the most frequent causes of SSNHL. Conclusions: The identification of the specific etiology of SSNHL may facilitate a more personalized approach to management and treatment.

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Section: Discussionmentioning

confidence: 99%

Sudden Sensorineural Hearing Loss in Patients Aged from 15 to 40 Years

Aldè,

Ambrosetti,

Piatti

et al. 2024

JCM

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“…Atypical Cogan syndrome is classified as vestibulocochlear symptoms associated with an inflammatory eye disease other than IK or when the interval between the onset of vestibulocochlear and ophthalmologic symptoms is greater than 2 years. 7,8 Caucasian young adults are most commonly affected with a median age of onset of 29 years. There does not appear to be a gender-specific prevalence or a hereditary component.…”

Section: Discussionmentioning

confidence: 99%

Cogan Syndrome: A Case Study and Review of the Literature

et al. 2023

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Cogan syndrome is an autoimmune disease characterized by vestibular symptoms, bilateral sensorineural hearing loss, and inflammatory ocular manifestations, which may be accompanied by systemic vasculitis. We herein present the case of a patient with bilateral sensorineural hearing loss who presented with pain over her cochlear implantation incision site. She was later found to have evidence of ocular disease and underlying vasculitis leading to a diagnosis of Cogan syndrome.

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“…Therefore, in all cases, a multidisciplinary approach is important to determine the most appropriate and proper therapy. 21 22 Anyway, the histological examination is the gold standard diagnostic examination that allows to differentiate laryngocele from other macroscopically similar lesions such as saccular cyst, neck abscess, branchial cyst, and neck adenopathy. 6 Moreover, histology provides another important information: the concomitant presence of a laryngeal cancer or amyloidosis.…”

Section: Discussionmentioning

confidence: 99%

CO2 Laser Marsupialization for Internal and Combined Laryngocele

Verro

Saraniti

2023

Int Arch Otorhinolaryngol

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Introduction Laryngocele is an air-filled dilatation of the laryngeal saccule that can be classified according to its extent (internal, external, or combined) and contents (laryngocele or laryngopyocele). To date, there is no consensus on the best treatment for laryngocele. Objective The present study aims to demonstrate for the first time the effectiveness of CO2 laser marsupialization for internal and combined laryngoceles. Methods A retrospective study was accomplished in our ENT Clinic of the University Hospital, from 2010 to today, recruiting patients according to strict criteria. All patients had internal or combined laryngocele/laryngopyocele treated with CO2 laser marsupialization. Results A total of 15 patients were enrolled for a total of 17 laryngoceles; 66.67% of the patients were males and the mean age was 54.4 (±14.12) years old. Internal laryngoceles accounted for 64.71% of the total, and only 7 cases were laryngopyoceles. At the 3-year follow-up, no signs of recurrence were found. Conclusion CO2 laser marsupialization is efficacious in the treatment of laryngocele or laryngopyocele, both internal and combined, in terms of efficiency, safety, and fast postoperative recovery, without need for tracheotomy or open surgery.

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Laryngeal tubercolosis: a case report with focus on voice assessment and review of the literature

Cited by 11 publications

References 29 publications

Sudden Sensorineural Hearing Loss in Patients Aged from 15 to 40 Years

Sudden Sensorineural Hearing Loss in Patients Aged from 15 to 40 Years

Cogan Syndrome: A Case Study and Review of the Literature

CO2 Laser Marsupialization for Internal and Combined Laryngocele

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