This study showed that difficulty in swallowing is not rare in total and frontolateral laryngectomy cases. Such patients, even those who did not complain of dysphagia, also had minor difficulties while eating, and had to make some adaptations to their meals.
Objectives: Autoimmune diseases can cause laryngeal involvement with a highly variable course ranging from asymptomatic to severe states. Just few cases have been described since 1959, when the first laryngeal manifestation of systemic lupus erithematosus (SLE) was published. The aim of this article is to identify and to describe laryngeal manifestations of autoimmune diseases. Methods: Transversal study with patients presenting SLE, scleroderma, or undifferentiated connective tissue syndrom (UCTS) at Sao Paulo HospitalUniversidade Federal de Sao Paulo/Escola Paulista de MedicinaSao Paulo, Brazil. These patients underwent otorhinolaryngologic evalution with laryngeal videostroboscopic image. Results: Twenty-six patients underwent laryngeal videostroboscopic evaluation. One patient could not support the exam. Eleven of 12 (91.6%) patients with SLE presented edema of interarytenoid tissue. Bamboo nodes, that are yellow transverse submucosal vocal fold deposit lesions, were seen in 03 (25%) patients with SLE. One (8.33%) patient had unilateral sulcus vocalis. All 11 patients with scleroderma presented reflux laryngopharyngitis. Two (18.1%) patients presented dilatation of vocal fold blood vessels and another 2 patients presented vocal fold nodule. Among 3 patients with UCTS, in 2 (66.7%) were seen bamboo nodes and reflux laryngopharyngitis. Conclusion: Laryngeal manifestations due to autoimmune diseases were seen in 07 (26.9%) of 26 patients. Bamboo nodes were seen in 5 (19.2%) patients. Almost all patients presented reflux laryngopharyngitis.
As doenças reumáticas produzem alterações sistêmicas e podem, por isso, comprometer os vasos sangüíneos, as serosas e as mucosas de todo o trato aerodigestivo. Casos esporádicos de acometimento laríngeo por doenças reumáticas têm sido descritos. Esse estudo tem por objetivo avaliar e descrever as alterações laríngeas encontradas em pacientes reumatológicos. FORMA DE ESTUDO: coorte transversal. MATERIAL E MÉTODO: Estudo transversal com pacientes portadores de lúpus eritematoso sistêmico, esclerodermia e doença mista do tecido conjuntivo. Os pacientes submeteram-se a exame clínico otorrinolaringológico e à videolaringoestroboscopia. RESULTADOS: Foram incluídos no estudo 27 pacientes sendo que 26 conseguiram realizar a videolaringoestroboscopia. Alterações laríngeas foram observadas em 11 dos 12 pacientes portadores de lúpus, nos 11 pacientes portadores de esclerodermia e nos 3 pacientes portadores de doença mista do tecido conjuntivo. Lesões sugestivas de nódulo em bambu foram identificados em 5 pacientes e 92,3% dos pacientes apresentaram sinais laríngeos de síndrome faringolaríngea do refluxo. CONCLUSÃO: Neste estudo identificamos 5 lesões sugestivas de nódulos em bambu e sinais laríngeos de refluxo em quase todos os pacientes.
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