Smoking cessation in chronic Reinke's oedema

Abstract

In evaluating the long term results of surgical treatment of Reinke's oedema, there has been found to be a high incidence of recurrence. The recurrence rate is significantly lower amongst those patients who gave up smoking after treatment. A group of patients with chronic Reinke's oedema were followed for six months. Maximum efforts were made to help the patients to stop smoking. Twenty-nine patients entered the study, but only eight of them (28 per cent) refrained from smoking; all were women (39–70 years) and all experienced reduced discomfort, although none of the voices were restored to normal. Diffuse laryngitis disappeared completely, but the oedema did not disappear entirely in any patient. Before treatment of chronic Reinke's oedema patients must be well advised and informed, and if surgery is decided upon, they must be urged most strongly to stop smoking, if they wish to enhance the possibility of satisfactory long-term results.

Functional Results of Reinke's Edema Surgery Using a Microdebrider

“…Patients should be encouraged to continue refraining from smoking after the operation to prevent recurrence. 3 In 2000, Sant'Anna and Mauri 5 first introduced the microdebrider system in functional surgery for Reinke's edema. From the experience gained from 5 cases, they suggested that the microdebrider is less invasive than classic methods because the suction pressure needed to remove the degenerated lamina propria is lower with the microdebrider than with classic methods.…”

Short term effect of hubble-bubble smoking on voice

“…These findings suggest a possible neurological effect of nicotine (or other chemical components of tobacco) on the voice 15 . Furthermore, on evaluating the long term results of microlaryngeal surgery in patients with Reinke's oedema, a lower recurrence rate was found in patients who ceased smoking post-operatively 16 . Hence, oedematous vocal fold changes are not an unusual finding in a smoker.…”

Incidence and Outcome of Vocal Cord Polyp: An Endoscopic Experience and Perception

“…Another 52 cases properly maintained the advice and their voice was fine up to the last follow-up. 33 V.…”