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AhmedYassinBahgat;MD,MSc,EBE-ORLLecturerofORLdepartment,AlexandriaUniversity
FellowofEuropeanboardofOtolaryngology-Head&necksurgeryClinicalandresearchFellowofUniversityofPavia(Italy),UniversityofVersailles(France),UniversityofCentralFloridaUCF&Universityof
SouthernCaliforniaUSC(USA).InternaLonalSDBSBoardcerLfied.MemberofAAO-HNS,ISSS,ERS
Hoarsenessofvoice
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Hoarsenessofvoice
• Functional: hysterical
• Organic:
• Congenital: VC web, paralysis
• Inflammatory: laryngitis, MAP lesions, Laryngocele
• Traumatic: laryngeal trauma
• Neurological: VC paralysis
• Neoplastic: Benign & malignant laryngeal tumors
• Aging: Presbylarynx
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Contact granulomas
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Contact granulomas
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Reinke’s edema
•Heavy smoking •Hoarseness of voice •Polypoidal degeneration •Treatment: • Elimination of irritating
factors, especially anti-reflux treatment.
• Voice rest. • MLS.
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Microlaryngosurgery
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Laryngocele(pathogenesis)
Neonatal(Congenital)Adult(Primary&Secondary)
Congenital weakness Persistent large saccule
Occupational
CancerlarynxBenigntumorsGranulomas
ProlongedintubaEon
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Symptoms •Dysphonia (hyper-resonance). •Dyspnea & stridor •Cough. •Neck swelling. •Dysphagia or feeding difficulty.
Signs• Compressible neck swelling. • Bryce’s sign (gurgling or hissing
on compression). • Ballooned FVC, AEF, or
vallecula.
Laryngocele(Clinicalpicture)
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UnilateralVCparalysis
• Mostcommoncause:Iatrogenicfollowingthyroidectomyoperation• Treatment:Vocalfoldinjection(medializationthyroplasty)
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RecurrentRespiratoryPapillomatosis
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RecurrentRespiratoryPapillomatosis
Juvenile Adult
Number Multiple Solitary
Recurrence Common Uncommon
Malignant transformation Rare Common
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RecurrentRespiratoryPapillomatosis
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Subglottic Haemangioma
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Malignant laryngeal tumors
• Mechanical:weightofthetumorpreventingcordmovement
• Infiltrative:ofthyroarytenoidmuscleorcricoarytenoidjoint
• Paralytic:infiltrationofthenervefiberstothemuscles(verylate)
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Hoarsenessofvoice
• Functional: hysterical
• Organic:
• Congenital: VC web, paralysis
• Inflammatory: laryngitis, MAP lesions, Laryngocele
• Traumatic: laryngeal trauma
• Neurological: VC paralysis
• Neoplastic: Benign & malignant laryngeal tumors
• Aging: Presbylarynx
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-The diagnosis is A- subglottic haemagioma.
B- juvenile papillomatosis. C- laryngomalcia. D- glottic web.
LARYNX
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- The causative organism is A-Herpes simplex virus B-Herpes Zoster virus C-Human papilloma virus D- Adenovirus
LARYNX
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• 28 year old lady • Caesarean section 2
months ago • Hoarseness of voice
LARYNX
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The diagnosis is A- Right vocal polyp B- Left intubation
granuloma C- Left Vocal polyp D- Right intubation
granuloma
LARYNX
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The condition can be treated by A- LASER excision B- Laryngofissure and
excision C- cordectomy D- radiotherapy
LARYNX
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The diagnosis is A- leukoplakia. B- Intubation granuloma. C- Vocal cord polyp. D- Adult papilloma.
LARYNX
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The presentation of this condition is A- Referred Otalgia B- Stridor C- Change of voice D- All of the above
LARYNX
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The treatment of this case is A- Antibiotics B- Microlaryngosurgery C- Cordectomy D- Radiotherapy
LARYNX
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• Recurrent respiratory papillomatosis in a child is characterized by all of the following except:
A. Frequently recurrent B. Affecting multiple sites C. More potentially malignant than that
ocurring in adults D. Best treated by repeated laser excision
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• Potentially malignant laryngeal lesions are all of the following except:
A. Leucoplakia B. Adult papilloma C. Reinke�s edema D. Plummer-vinson�s syndrome
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• Biphasic stridor may be due to:
A. Bronchial asthma B. Subglottic tumor C. Vocal cord paralysis D. Glottic carcinoma