Benign Tumors of the Larynx: A Study of Seven Hundred and Twenty-Two Cases

New, Gordon B.; Erich, John

doi:10.1001/archotol.1938.00650040854001

Cited by 186 publications

(35 citation statements)

References 17 publications

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“…However, the incidence reported in our series is in disagreement with the incidence reported in an similar Indian study (1.4%; p = 0.00) [11]. Various studies have reported a higher incidence of benign tumors of the larynx in the age groups between 20 and 60 years [1,2,[12][13][14]. Our results are in concordance with the above fi ndings as we observed maximum number of cases in the third decade of life (31-40 years).…”

Section: Discussioncontrasting

confidence: 99%

“…All patients (100%) this symptom. The predominance of this symptom in this cohort of patients has been shown previously [1,2,5,8].…”

supporting

confidence: 83%

“…Benign neoplasms of the larynx constitute an interesting array of lesions and have been defi ned as "An abnormal mass of tissue in the larynx, the growth of which exceeds and is uncoordinated with that of normal tissue and persists in the same excessive manner after cessation of stimuli which evoked the change" [1].…”

Section: Introductionmentioning

confidence: 99%

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Benign tumors of the larynx: a clinical study of 50 cases

Singhal

Bhandari

Chouhan

et al. 2009

Indian J Otolaryngol Head Neck Surg

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Objective The study was undertaken to identify the common type of lesions, and the age, sex distribution, symptomatology, sites of involvement and prognosis of the same.Study design A two-year prospective study was conducted from January 2005 to December 2006.Setting The study was conducted at SMS Medical College, Jaipur, Rajasthan, India-a tertiary referral hospital.Patients A total of 50 patients with benign laryngeal lesions were included in the study based on symptoms such as hoarseness of voice, foreign body sensation, throat pain, neck mass and cough and with positive clinical fi ndings on indirect laryngoscopy and neck examination. The patients were in the age group of 14-63 years. All nonoperative cases and malignant cases were excluded. Diagnostic hematological and radiological investigations and therapeutic microlarygoscopic procedures were employed.Results A male preponderance with a male:female ratio of 2.5:1 was observed. Majority of the patients were in the age group of 21-30 years. Vocal cord polyps were observed to be the commonest type of lesions. In our study, hoarseness of voice, cough, foreign body sensation and throat pain were found to be the commonest symptoms. Out of the 50 patients in the study group, only 6% patients got complete relief with voice rest and vocal rehabilitation; 94% patients required surgery, which included microlarygoscopy and endolaryngeal surgery. There was no recurrence in cases of vocal polyps and nodules during the period of observation.Conclusion Microlaryngeal surgery and voice rest offer a cost-effective, useful and safe method for the management of benign laryngeal lesions. With the inclusion of lasers, they can be more precisely operated. As such, the standard treatment of choice in all types of benign tumors of the larynx should consist of a triad of approach by microlaryngeal surgery (either microscopic or endoscopic, with or without use of lasers), voice rest and vocal rehabilitation.

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Section: Discussioncontrasting

confidence: 99%

“…All patients (100%) this symptom. The predominance of this symptom in this cohort of patients has been shown previously [1,2,5,8].…”

supporting

confidence: 83%

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Benign tumors of the larynx: a clinical study of 50 cases

Singhal

Bhandari

Chouhan

et al. 2009

Indian J Otolaryngol Head Neck Surg

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“…Em uma revisão de 722 casos de tumores benignos de laringe, New e Erich (1938) 8 encontraram somente um caso de schwanoma, enquanto Holinger e Johnston (1942) 9 encontraram um caso entre 1197 casos de tumores benignos de laringe.…”

Section: Revisão De Literaturaunclassified

Schwanoma de laringe: relato de caso

Melo

Tiago

Brasil

et al. 2004

Rev. Bras. Otorrinolaringol.

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Resumo / SummarySchwanomas são tumores benignos, de crescimento lento, encapsulados, que surgem da bainha das células de Schwann de nervos motores, sensitivos ou cranianos, não contendo elementos nervosos. A localização na laringe é extremamente rara, existindo relatos esporádicos na literatura mundial. O objetivo deste trabalho é relatar um caso de schwanoma laríngeo atendido em nosso meio. O paciente de 82 anos de idade, sexo feminino, procurou nosso serviço com queixa de disfagia para sólidos de longa data e sensação de globus faríngeo. A laringoscopia com telescópio rígido de 70º evidenciou um tumor submucoso, arredondado, na região interaritenóidea. A tomografia computadorizada de pescoço mostrou tratar-se de lesão aparentemente sólida, sem necrose central e sem extensão para planos profundos, medindo aproximadamente 2,5 cm no maior diâmetro. A paciente foi submetida a microcirurgia de laringe, com ressecção completa da lesão. O exame histopatológico revelou tratar-se de um schwanoma laríngeo. A paciente evoluiu bem, sem sinais de tumor residual ou recidiva em dois anos de seguimento clínico.

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“…Доброкачественными образованиями гортани являются эпителиальные, соединительнотканные, неврогенные и миогенные опухоли. К опухолеподобным заболеваниям относят узелки голосовых складок, полипы, кисты и неспецифические гранулемы [1][2][3][4]. Частота встречаемо-сти ДОЗГ составляет 55-70% среди продуктивных про-цессов верхних дыхательных путей, в частности, поли-пы составляют 39-68%, папилломы -24-59%, отек Рейнке -5,5%, кисты -5%, неспецифические грануле-мы -3-4%, амилоидоз -менее 1% [3][4][5].…”

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Treatment Experience of Patients With Laryngeal Granuloma Using High-Energy Surgical Equipment Ent

2017

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Гранулемы в зоне голосового отростка черпаловидного хряща (контактные) развиваются вследствие микротравмы, хро-нического кашля, гастроэзофагеального рефлюкса, перенапряжения голоса и психосоматических особенностей. В статье приведены данные обзора литературы по проблеме лечения гранулем гортани: хирургическое лечение показано при неэффективности консервативного лечения, а также при наличии образований, стенозирующих просвет гортани и требу-ющих морфологической верификации. В Клинике болезней уха, горла и носа Первого МГМУ им. И.М. Сеченова с 2014 по 2017 г. наблюдалось 8 пациентов: одна пациентка с постинтубационными гранулемами успешно прооперирована, реци-дива нет в течение 6 месяцев. Семь пациентов проходят лечение по поводу гастроэзофагеальной рефлюксной болезни, на фоне чего в одном случае отмечен полный регресс гранулемы; пяти больным проведено хирургическое удаление грану-лемы, из них у трех не было рецидива, а у двух отмечено повторное появление гранулем спустя 6 месяцев, по поводу чего они реоперированы. Интраоперационное применение радиоволнового аппарата при удалении гранулемы с последующей коагуляцией места ее прикрепления очевидно уменьшает риск рецидива. bothsides granuloma underwent a surgical excision under general anesthesia, followed up for 6 months and had no recurrence. 7 patients (6 males and 1 female) were treated with proton pump inhibitors due to they had gastroesophageal reflux disease. In 1 case contact granuloma reduced after 3 month conservative therapy without recurrence. One patient was non compliant. In 5 others microsurgical treatment performed. 2 of them had recurrent granuloma after 6 months and underwent repeated microsurgical excision using radiofrequency ablation. According the world and our own experience high-energy surgical equipment is recommended to be used in recurrent laryngeal granuloma to reduce it's recurrence rate.

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Benign Tumors of the Larynx: A Study of Seven Hundred and Twenty-Two Cases

Cited by 186 publications

References 17 publications

Benign tumors of the larynx: a clinical study of 50 cases

Benign tumors of the larynx: a clinical study of 50 cases

Schwanoma de laringe: relato de caso

Treatment Experience of Patients With Laryngeal Granuloma Using High-Energy Surgical Equipment Ent

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