Guinchard Anne-Claude, Schweizer Valérie
Unité de phoniatrie et de logopédie, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, CHUV, 1011 Lausanne.
Rev Med Suisse. 2016 Oct 5;12(533):1661-1664.
The vocal cord or vocal fold is a remarkable structure, capable to support significant physical constraints. When the voice malmenage becomes chronic, it may appear an organic alteration causing nodules, polyps or Reinke edema even a lesion of the posterior glottis, the granuloma. These lesions are benign but lead to dysphonia that can be invalidating. Treatment can be a speech therapy with correction of breath and posture and, in some cases, a surgical treatment. In this article, we describe these common lesions with their histological characteristics and pathophysiological hypotheses which lead to their appearance and treatment.
声带是一个非凡的结构，能够承受巨大的身体压力。当发声管理不善变为慢性时，可能会出现器质性改变，导致结节、息肉或任克水肿，甚至后声门病变、肉芽肿。这些病变是良性的，但会导致发音障碍，可能使人丧失能力。治疗方法可以是语音治疗，纠正呼吸和姿势，在某些情况下还可以进行手术治疗。在本文中，我们描述了这些常见病变及其组织学特征和导致其出现及治疗的病理生理假设。
