Smoking is a major risk factor for reinkes edema, just as it is the major risk factor for cancer of the lungs, throat, and voice box. The entire length of the membranous vocal fold is edematous. Voice changes, in which females are often mistaken for males, is a hallmark of this disease. Reinkes edema department of otolaryngology university.
Reinkes edema polypoid changes of both vocal folds. Reinkes oedema of vocal cords anaesthetic considerations. An analysis of 92 eases of reinkes oedema was done in this study. Steroid therapy considered only for emergency airway problems if breathing is impaired in patients with reinkes edema, steroid therapy may be prescribed to improve airway access while other treatment methods reflux treatment, voice therapy, andor surgery are given. The nonmuscle part of the vocal cord, sometimes called the vocal fold, right under its surface, is called reinke s space. Three main causes of reinkes edema majority of the cases of reinkes edema are caused by one or a combination of the risk factors below.
Officebased photoangiolytic laser treatment of reinkes edema. Steroid medication is not a treatment for the swelling in reinkes edema. The most frequent etiologic factor of reinke s edema is smoking. Editorunsuspected laryngeal web may be a problem during endotracheal intubation. When a person speaks, the reinke s space vibrates to allow for sound to be produced. Coldsteel phonosurgery of reinke edema evaluated by the. Reinkes edema is associated with female gender, tobacco use, reflux disease, and voice use. The vocal folds show a white and translucent edema, confined into the superficial lamina propria.
Reinke s edema is the swelling of the vocal cords due to fluid collected within the reinke s space. Reinkes edema, a benign laryngeal disorder, before and after endoscopic. Keywords reinkes edema, photoangiolytic laser, officebased. A clinicopathological study of reinkes oedema springerlink. Subjective voice assessment after endoscopic surgery for an. Endoscopic surgery for an obstructive reinke edema using voice handicap.
Home june 2005 volume 100 issue 6 polyps and reinkes edema. Pdf various treatment modalities have been proposed for the management of reinkes edema. This causes the vocal cords to appear swollen and translucent image. Reinkes edema describes excess tissue in this area, causing the appearance of vocal fold polyps.
Edema reduction for sub acute handarm edema based on mem pump point article pdf available in journal of hand therapy 234 october 2010 with 2,842 reads. This condition is called reinkes edema, which literally means swelling in reinkes space or buildup of fluid in reinkes space. To investigate the auditory perception of lay judges of the voice gender identification of women with reinkes edema and to associate it with its. Reinke s edema is a benign lesion of vocal fold affecting subepithelial space. Vocal cord, reinkes edema, hoarseness, co2 laser, microlaryngeal surgery. Free, official information about 2014 and also 2015 icd9cm diagnosis code 478.
Reinke s edema risk factors and causes women are more likely than men to get. Request pdf coldsteel phonosurgery of reinke edema evaluated by the multidimensional voice program objectives coldsteel phonosurgery ps of reinke edema is challenging, as the. A unique imaging dilemma is presented where vocal fold thickening due to reinkes edema mimicked tumor invasion of the vocal cords in a known case of. Article information, pdf download for officebased photoangiolytic laser. Reinke s edema re is a benign polypoidal lesion of the vocal folds. Reinke in 1895, the reinke s space is a gelatinous layer of the vocal cord located underneath the outer cells of the vocal cord. Chronic irritation from smoking and acid reflux increases capillary permeability, leading to edema and polypoid degeneration of the true vocal cords. University of groningen benign lesions of the vocal folds. Auditory perception of lay judges about gender identification of. Although reinke s edema is a common cause of substantial. Reinke s edema is a benign laryngeal disease that is associated with chronic tobacco abuse and gastroesophageal reflux disease. Gere sunderplassmann, petra reinke, thomas rath, andrzej wiecek, michal nowicki, richard moore, jens lutz, martina gaggl, marek ferkl transpl int. Histological and electron microscopic investigation of. When the vocal cords are impacted by the swelling, they cannot vibrate in the usual way.