Reinke's edema is one of the benign mucosal diseases of the vocal cord, it develops as a result of the accumulation of gelatinous edematous fluid in superficial lamina propria of vocal folds (Reinke's space). This fluid accumulates in this region because of local impairment of lymphatic circulation or vascular congestion and stasis secondary to damage of the vessel walls. [1,2] Reinke's edema are more frequently seen in women and often causes a coarse voice and hoarseness. Among its etiological factors, smoking, alcohol consumption, misuse of voice, chronic laryngitis, laryngopharyngeal reflux, allergy, inadequate fluid intake and systemic diseases like hypthyroidism can be enumerated.[2]
ÖzetAmaç: Bu çal›flmada Reinke ödeminde cerrahi tedavinin ses kalitesi üzerine etkisi araflt›r›lm›flt›r. Cerrahi tedavinin ses kalitesinde meydana getirdi¤i de¤ifliklikler, hastalara cerrahi öncesi ve sonras› ses performans anketi ve akustik ses analizi uygulanarak de¤erlendirilmifltir.Yöntem: Reinke ödemi olan ve cerrahi tedavi uygulanan 21 hastaya ameliyat öncesi ve sonras› 1. ayda ses performans anketi ve Dr. Speech (Drs Tiger Inc., Seattle, WA, ABD) bilgisayarl› ses analiz program› kullan›larak akustik ses analizi yap›ld›.
Bulgular:Hastalar›n tümünde Reinke ödemi bilateraldi. Ses performans anketi ve ses analizi sonuçlar›na göre hastalar›n ses kalitesinde cerrahi tedavi sonras› istatistiksel olarak anlaml› derecede düzelme saptand›. Alt› ayl›k takip sonunda sadece 1 hastada (%4.7) nüks tespit edildi.
Sonuç:Reinke ödemli hastalarda vokal kordlar›n fonksiyonel özellik-leri ve hastan›n ses kalitesi cerrahi tedavi ile baflar›l› bir flekilde iyilefltirilebilmektedir.Anahtar sözcükler: Reinke ödemi, cerrahi tedavi, ses kalitesi, anket, ses analizi
AbstractObjective: The aim of this study was to investigate the effect of surgical treatment of Reinke's edema on voice quality. The changes in voice quality caused by surgical treatment were evaluated by using voice performance questionnaire and acoustic voice analysis before and after surgery.
Methods:Vocal Performance Questionnaire and acoustic voice analyses with the help of Dr. Speech (Drs Tiger Inc., Seattle, WA, USA) software were performed preoperatively and at one month postoperatively in 21 patients with Reinke's edema who had received surgical therapy.Results: Reinke's edema was bilateral in all patients. According to the results of vocal performance questionnaires and acoustic voice analyses, the voice quality of patients improved significantly after surgery. At the end of the six month follow-up, the recurrence was detected only in one (4.7%) patient.
Conclusion:In patients with Reinke's edema, the functional properties of vocal folds and the voice quality of patients can be successfully improved by surgical treatment.