Kryukov A I, Romanenko S G, Pavlikhin O G, Lesogorova E V
Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.
L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.
Vestn Otorinolaringol. 2018;83(1):56-58. doi: 10.17116/otorino201883156-58.
This article was designed to report the results of the evaluation of the clinical and functional condition of the larynx in the patients of the elder age group presenting with chronic oedematous polypoidal laryngitis before and after their surgical treatment. A total of 60 patients at the age from 60 to 72 years were available for the examination; all of them had a concomitant somatic or ENT pathology. The clinical and functional conditions of the larynx in the patients of the elder age group were studied, with special reference to those suffering from chronic oedematous polypoidal laryngitis before the surgical intervention, that determined the overall clinical picture of the disease characterized in the first place by the predominance of the severe polypoid process with the combination of the organic and functional laryngeal pathology. The specific clinical and functional features of the larynx were identified after the surgical treatment that exerted the appreciable influence on the postoperative course of the disease and the duration of dysphonia. The peculiarities of postoperative laryngitis are described. Its catarrhal form was diagnosed in 42% of the patients. The strong inflammatory reaction with exudation and formation of fibrin films was documented in 58% of the patients while 83% of them exhibited formation of the functional component of dysphonia that required the application of the additional therapeutic measures for the complete restoration of the vocal function taking into consideration the age-related alteration of the larynx together with the long-term postoperative observation of the patients.
本文旨在报告老年组慢性水肿性息肉样喉炎患者手术治疗前后喉部临床及功能状况的评估结果。共有60例年龄在60至72岁之间的患者接受了检查；他们均伴有躯体或耳鼻喉科疾病。研究了老年组患者的喉部临床及功能状况，特别关注手术干预前患有慢性水肿性息肉样喉炎的患者，这决定了该疾病的总体临床情况，其首要特征是严重息肉样病变占主导，并伴有喉部器质性和功能性病变。手术治疗后确定了喉部的具体临床及功能特征，这对疾病的术后病程和声音嘶哑的持续时间产生了显著影响。描述了术后喉炎的特点。42%的患者被诊断为卡他性形式。58%的患者记录到伴有渗出和纤维蛋白膜形成的强烈炎症反应，而83%的患者出现了声音嘶哑的功能性成分形成，考虑到喉部的年龄相关变化以及对患者的长期术后观察，这需要采取额外的治疗措施来完全恢复声带功能。
