Pol yps are common injuries of the vocal folds. Voice trauma is the main factor related with the onset of this injury. The association between vocal fold polyps and cover minimum structural alterations (sulcus, epidermoid cyst, mucosal bridge, laryngeal web and varicosity) has been little studied in literature; therefore, the purpose of the present study was to quantify and to analyze this association. Study design: Clinical retrospective. Material and Methods: We carried out a retrospective study with 68 patients, mean age 39.5 years, surgically submitted to exeresis of vocal fold polyps in the period between January 1999 and May 2003. We analyzed the presence of vocal fold polyps and cover minimum structural alterations. Results: The presence of cover minimum structural alterations associated with the polyp occurred in 16 (23.5%) patients. In 8 (50%) patients, the finding was sulcus vocalis. In 4 (25%) patients, the finding was epidermoid cyst, in 2 (12.5%) patients, mucosal bridge, in 1 (6.25%), varicosity and in 1 (6.25%) patient, laryngeal web. Cover minimum structural alterations were contralateral to the vocal fold polyp in 11 patients. Of the sulcus, 6 (75%) were contralateral and among the cysts, 3 (75%) were contralateral to the polyp. Conclusion: The association between vocal fold polyps and cover minimum structural alterations is relatively frequent and it was 23.5% in our study. Careful intraoperative exploration of vocal folds in search for these alterations is essential.Key words: vocal fold polyp, vocal fold cover minor structural alteration, phonotrauma. «« ««Rev Bras Otorrinolaringol.
Inflammatory pseudotumors of the paranasal sinuses present a variety of symptoms according to the site.
Pseudotumor inflamatório pode ser definido como uma lesão que simula neoplasia clínica e radiologicamente. Não se trata de uma entidade clínico-patológica única, mas um termo genérico para qualquer lesão expansiva inflamatória crônica inespecífica. Há poucos relatos de pseudotumor inflamatório em cavidade nasal e seios paranasais. RELATO DE CASOS: Apresentamos três casos de pseudotumor inflamatório em nariz e seios paranasais atendidos na Divisão de Clínica Otorrinolaringológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. DISCUSSÃO: Pseudotumor inflamatório de seios paranasais apresenta sintomatologia variável conforme o local de origem. Geralmente, segue curso benigno, porém pode ser localmente agressivo.
Objectives: Polyps are common lesions of vocal folds. Phonotrauma is related to physiopathology of this lesion. The objective of our study was to analyze the association with polyps and other benign vocal fold lesions (BVFLs). Methods: Sixty-eight patients underwent microlaryngeal surgery due to polyps of vocal folds. We analyzed retrospectively the presence of polyps in association with sulcus vocalis, cysts, and mucosal bridges. Results: The presence of BVFLs associated with polyps occurred in 14 (20.5%) patients. In 8 (57%) patients the polyp was associated with sulcus vocalis, in 4 (29%) with vocal fold cyst and in 2 (14%) with mucosal bridge. BVFLs was contralateral to the polyp in 9 (64%) patients (6 sulcus and 3 cysts). Conclusion: The association between polyps and others BVFLs is relatively frequent (20.5%). The polyp appears to arise from alterations in vocal fold vibration caused by the ipsilateral BVFL or as a result of repeated trauma of the contralateral BVFL.
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