Common mistakes in the diagnosis of laryngeal pathology

Abstract

The article The article describes in detail the main stages of the diagnosis of voice disorders with an indication of the methods and major errors leading to an incorrect diagnosis. Since in some cases, impaired voice quality is the first and/ or only symptom of concomitant diseases of organs or systems of various etiologies, an expanded diagnostic search is required to make a correct diagnosis. The features of receiving of complaints and medical history from patients with laryngeal diseases, the guidelines for laryngoscopy are described. A description of the laryngoscopic vew is presented, which helps in the diagnosis of the initial stages of Reinke’s edema, hyperplastic laryngitis and early stages of laryngeal cancer. The relationship between the functional and organic pathology of the larynx is very close, it can be difficult to understand the root cause of voice disorder, this leads to incorrect treatment tactics, the progression and relapse of the disease. The causes of laryngeal diseases of an organic and functional nature, the features of the clinical picture and the differential diagnosis of voice disorders are considered. Cases of diagnosis, a clinic of chronic laryngitis, laryngomycosis, and laryngeal cancer are described; the main approaches to the treatment of laryngeal diseases are presented. The article will be useful to otorhinolaryngologists, phoniatricians of outpatient and inpatient care.

Сlinical characteristics of precanceral lesions of larynx

“…Согласно современным представлениям предопухолевые трансформации -это обязательная стадия опухолевого роста, а патоморфологические предраковые поражения являются облигатной фазой развития рака [5,6]. В настоящее время остаются нерешенными вопросы дифференциальной диагностики предраковых поражений гортани и их прогноза [7][8][9]. Таким образом, изучение характерных клинических признаков предраковых поражений гортани остается актуальной проблемой.…”