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Chronic hyperplastic laryngitis

Chronic hyperplastic laryngitis is characterized by various kinds of laryngeal mucosa hyperplasia; prevalence distinguish between limited and diffuse forms of the disease.



Et and about l about d and I. It occurs usually after frequent acute processes, the disease is caused by hypothermia and overheating of the body, voice overload, smoking, alcohol, etc.

K l and n and with to and to kartin and. The main complaint is hoarseness, less often there is dysphonia or aphonia, which is usually caused by an uneven thickening of the vocal folds, limitation of their mobility and phonation by the vestibular folds. With exacerbations, complaints and symptoms characteristic of catarrhal laryngitis join. Indirect and direct laryngoscopy can detect hyperemia and hypertrophy of the mucous membrane, usually symmetrical on both sides of the larynx (unlike a tumor, which is usually asymmetric) and in the intercarpal space in the form of a transverse roller with a serrated edge that extends into the lumen of the larynx. Often, hypertrophy of the mucous membrane of the laryngeal ventricles is determined, while the mucosa protrudes between the vestibular and vocal folds on one or both sides.

A kind of hyperplastic laryngitis is a warty thickening of the squamous epithelium in the form of a cup-shaped protrusion located in the area of ​​the intercarpal space, less often in other places, and called pachydermia. Hoarseness usually occurs with a hypertrophic process in the area of ​​the vocal folds. At singers, readers, etc. often one or two small pointed or rounded protrusions of 1–2 mm in size are located symmetrically on the free edges of both vocal folds at the border of their anterior and middle third. These so-called singing (hyperplastic) nodules are fibrous formations, such thickenings can occur singly in one or another part of the vocal fold.
They do not belong to true tumors and are called "hyperplastic nodules."

D and a g n about with t and to and. Chronic hyperplastic laryngitis in typical cases is recognized based on complaints and a laryngoscopic picture. In the presence of isolated hyperplasia, chronic laryngitis must be differentiated from the tuberculosis process, syphilis, scleroma, or a malignant tumor. In these cases, a series of serological reactions and a skin tuberculin test are put. Histological examination of biopsy material plays a crucial role in the diagnosis. In this case, constant oncological alertness is necessary.

Treatment. First of all, the elimination of all harmful factors and the mandatory observance of a sparing voice mode are envisaged. During periods of exacerbation, the same treatment is carried out as in acute catarrhal laryngitis. With significant mucosal hyperplasia, the affected areas are quenched by 1-2% lapis solution every other day for 2 weeks. In addition, laser destruction of hypertrophic areas gives a good effect. Treatment courses are periodically prescribed by inhalation or aerosol with a 2% citral oil solution, alkaline oil, isotonic sodium chloride solution, etc. Hyperplastic nodules are removed (with subsequent histological examination), and the attachment site is extinguished using a contact laser. In case of exacerbation, inhalations and injections of antibiotic solutions with hydrocortisone, etc., are applied to the larynx.

When there is a significant improvement, it is usually favorable, with hyperplastic nodules, after their removal, recovery usually occurs.
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Chronic hyperplastic laryngitis

  1. Chronic atrophic laryngitis
    Most often, atrophic laryngitis is etiologically and pathogenetically associated with atrophy of the nasal mucosa and pharynx: in some cases, it develops after suffering diphtheria or scarlet fever. Conditions of dust and gas contamination of the environment contribute to the development of atrophy of the mucous membrane of the larynx as well as smoking and alcohol abuse. K l and n and with to and to kartin and.
  2. Chronic professional laryngitis
    For chronic professional laryngitis, a decrease in the tone of the muscles of the larynx is characteristic. In the study, there is an expansion of blood vessels along the edge of the vocal folds. The folds are pink, their free edge is somewhat thickened, even, with phonation they close almost completely. With more severe forms of professional laryngitis, hoarseness becomes constant, the voice is hoarse, devoid of
  3. Chronic laryngitis. U37.0
    {foto170} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, cough, difficulty
  4. Chronic catarrhal laryngitis
    The disease in most cases is a consequence of the often repeated acute inflammation of the mucous membrane of the larynx after hypothermia. In persons whose profession is associated with the load on the vocal apparatus (singers, readers, lecturers, etc.), their long overstrain can play the main etiological role. Occupational factors such as dustiness,
  5. Chronic laryngitis and laryngotracheitis. U37
    {foto169} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, cough, difficulty
  6. Endometrial hyperplastic processes
    Hyperplastic processes of the endometrium, as well as other localizations, attract attention due to their progression to malignant growth. There is an unequivocal opinion about the high frequency of endometrial hyperplastic processes at perimenopausal age, as well as the high risk of their malignancy at this time. Less commonly, this pathology is observed in other age periods of a woman’s life and almost
  7. Treatment and prevention of endometrial hyperplastic processes
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  8. HYPERPLASTIC, DYSTROPHIC AND TUMOR DISEASES OF THE FEMALE GENITAL ORGANS AND MAMMARY GLANDS
    Hyperplastic and dystrophic processes of the female genital organs, as a rule, serve as one of the manifestations of the pathology of the endocrine and immune systems, as well as inflammatory processes of the genitals. They can also be induced by various environmental and hereditary factors. At the same time, hyperplastic and dystrophic changes often precede the development of malignant
  9. Hyperplastic and dystrophic processes of the cervix
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  10. Hyperplastic, dysplastic and tumor processes of the mammary gland
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  11. Hyperplastic and dystrophic processes of the external genital organs and vagina
    Hyperplastic and dystrophic processes of the external genital organs and
  12. Laryngitis
    The clinical picture of acute laryngitis Acute laryngitis (inflammation of the larynx) occurs more often with acute catarrh of the upper respiratory tract, flu and other infectious diseases, as well as as a result of overexertion of the voice. Depending on the degree of inflammation, a change in voice from mild hoarseness to loss of it, coughing, dryness, sore throat. Sometimes a slight fever, headache
  13. Laryngitis
    Physical blockage Laryngitis is an inflammation of the larynx, the organ by which we make sounds. Laryngitis is characterized by hoarseness, coughing and sometimes shortness of breath. (If it is a lesion of the larynx with diphtheria, see the article CRUP). Emotional blocking Partial or complete loss of voice indicates that a person does not allow himself to speak, as he is afraid of something. He wants
  14. Acute laryngitis
    Acute laryngitis is an inflammation of the mucous membrane of the larynx, which in this case, as a rule, is secondarily affected by acute respiratory infections, is less often an independent disease, while there is always inflammation of the mucous membrane of the trachea and it is more correct to call this disease laryngotracheitis, especially since from our point of view this disease begins it is with inflammation of the trachea, and then the larynx. At the first place
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