Reinke Edema: Factors that Interfere with Vocal Recovery after Surgery

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dc.contributor.authorLima Neto, Jose Luiz [UNESP]
dc.contributor.authorBueno da Fonseca, Antonio Rodrigues [UNESP]
dc.contributor.authorMendes Tavares, Elaine Lara [UNESP]
dc.contributor.authorJoia Gramuglia, Andrea Cristina [UNESP]
dc.contributor.authorGarcia Martins, Regina Helena [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T11:55:51Z
dc.date.available2023-07-29T11:55:51Z
dc.date.issued2022-09-27
dc.description.abstractIntroduction Dysphonia and lower pitch after surgery of Reinke edema are common. They are caused especially due to chronic smoking but, probably, other factors should be associated. Objectives To evaluate the results of laryngeal microsurgery in patients with Reinke edema, following a standardized postoperative guidance protocol in our service. Methods Retrospective study. Thirty patients (3 males; 27 females) were included, 70% between 41 and 60 years old. The parameters analyzed in the pre- and postoperative (between 4 and 6 months) of patients undergoing laryngeal microsurgery for Reinke edema were: smoking, vocal symptoms, videolaryngostroboscopy, voice therapy, perceptual and acoustic vocal evaluation, histopathological report. Results Smoking was reported by 100% of the patients and maintained in the postoperative period by 80%. Complete improvement of symptoms in the postoperative period was reported by 43% of them, partial improvement by 40%, and maintenance by 17%. There was low adherence to voice therapy in the pre- and postsurgery. Postoperative videolaryngoscopy indicated congestion (19), atrophy and bowed vocal fold (1), subepithelial edema (2), and normal findings (8). The histological findings were subepithelial edema, enlargement of vessels, inflammation, epithelial hyperplasia, and thickening of the basement membrane. The perceptual and acoustic vocal analyzes indicated improvement of the analyzed parameters. Conclusions The maintenance of some vocal symptoms and laryngeal alterations in videolaryngoscopy after microsurgery of Reinke edema is frequent, even in patients who follow the recommendations of vocal rest and control of gastroesophageal reflux. Vocal symptoms are attributed to changes in the laryngeal mucosa caused by chronic smoking, aggravated by the maintenance of addiction in the postoperative period.en
dc.description.affiliationUniv Estadual Paulista, Dept Ophthalmol Otorhinolaryngol & Head & Neck Su, Unesp Botucatu, Sao Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Dept Ophthalmol Otorhinolaryngol & Head & Neck Su, Unesp Botucatu, Sao Paulo, Brazil
dc.format.extent77-82
dc.identifierhttp://dx.doi.org/10.1055/s-0042-1743463
dc.identifier.citationInternational Archives of Otorhinolaryngology. Stuttgart: Georg Thieme Verlag Kg, v. 27, n. 01, p. 77-82, 2023.
dc.identifier.doi10.1055/s-0042-1743463
dc.identifier.issn1809-9777
dc.identifier.urihttp://hdl.handle.net/11449/245465
dc.identifier.wosWOS:000860144000002
dc.language.isoeng
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofInternational Archives Of Otorhinolaryngology
dc.sourceWeb of Science
dc.subjectreinke edema
dc.subjectdysphonia
dc.subjectsurgery
dc.subjecttreatment
dc.titleReinke Edema: Factors that Interfere with Vocal Recovery after Surgeryen
dc.typeArtigo
dcterms.rightsHolderGeorg Thieme Verlag Kg
unesp.author.orcid0000-0002-6654-9720[2]
unesp.author.orcid0000-0002-6547-6443[3]
unesp.author.orcid0000-0003-0772-1962[5]

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