Subject(s)
Laryngoscopy/standards , Otolaryngology/standards , Physical Examination/standards , Humans , LarynxABSTRACT
Twenty-seven cases of contact granulomas were seen by us during the past 24 months. Granulomas of the larynx resulting from local irritative and mechanical forces have clinically similar findings and symptom complexes. They differ in etiologic factor but are similar in pathologic appearance, except in unusual cases.
Subject(s)
Granuloma/etiology , Laryngeal Diseases/etiology , Gastric Acid/metabolism , Granuloma/metabolism , Granuloma/pathology , Humans , Intubation/adverse effects , Laryngeal Diseases/metabolism , Laryngeal Diseases/pathology , Larynx/physiopathology , TracheaABSTRACT
The most common complication of prolonged endotracheal intubation is vocal change. This dysphonia is a result of the laryngeal pathology produced by the recurrent frictional irritation of the endotracheal tube with each respiratory exchange. The purpose of this paper is to present three representative cases, stress early recognition, and outline a course of vigorous early treatment which has proved to be successful in alleviating and reducing the prolonged symptoms of this iatrogenic dysphonia.
Subject(s)
Intubation, Intratracheal/adverse effects , Voice Disorders/etiology , Aged , Humans , Laryngeal Mucosa/injuries , Male , Middle Aged , Time Factors , Voice Disorders/diagnosis , Voice Disorders/therapyABSTRACT
Singers and actors who abuse their voices may develop either polyps, nodules, contact ulcers, and/or contact granuloma. Rarely a vascular lesion consisting of a hypertrophic vessel projecting above the medial or superior mucosal surface of the vocal cord is encountered that may contain a small knucklelike deformity. Clinically this is not dissimilar in appearance to a vessel found on the anterior nasal septum that is responsible for epistaxis. When the voice is strained, these vessels can rupture, causing recurrent submucosal hemorrhages in the professional voice user. The case described is that of a well-known actress in whom vocal abuse did not produce a submucosal hemorrhage from the varix but rather an edematous change and symptoms identical to those of a soft, early vocal cord nodule.
Subject(s)
Occupational Diseases/etiology , Varicose Veins/etiology , Verbal Behavior , Vocal Cords/blood supply , Voice , Female , Humans , Middle Aged , Music , Varicose Veins/pathologyABSTRACT
Since the introduction of the carbon dioxide laser by Strong and Jako, complications reported in the literature have been limited primarily to those associated with ignition of the endotracheal tube and its resultant sequelae. Many such cases have been reported but are fortunately rare in relation to the frequency of laser use. Other than the associated tissue injury which is minor when the laser is accidently fired at normal tissue, no other tissue complications have been reported in the literature to date. A granuloma appearing clinically as a lesion of the true cord following laser debulking of a paralytic vocal cord is reported herein.
