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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2014, Number 2

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An Med Asoc Med Hosp ABC 2014; 59 (2)

Laryngeal leukoplakias: report of a series of cases

Vargas AAM; García CN
Full text How to cite this article

Language: Spanish
References: 7
Page: 111-114
PDF size: 195.27 Kb.


Key words:

Leukoplakia, dysphonia, keratosis, dysplasia.

ABSTRACT

Introduction: The laryngeal leukoplakias are white lesions on the vocal cords whose diagnosis is only clinically and can be from accumulation of mucus to premalignant and malignant lesions (8%), hence the importance of diagnosis early. They are usually associated with risk factors smoking is the most common. Objective: Describe a series of cases of laryngeal leukoplakia with the association of smoking, alcoholism, laryngo-pharyngeal reflux and exposure to adverse work environment. Method: Descriptive clinical study of a series of cases. Results: Studied 26 cases finding that 19 patients were exposed to risk factors combined and 7 to one only. As isolated risk factors, alcoholism was found in 21 patients, smoking in 16 patients, solvents in three, and striking that laryngo-pharyngeal reflux disease was a chronic irritant factor in 10 patients. Conclusions: Any adult with dysphonia of minimum duration of three weeks should be adequately evaluated of the vocal cords. The three major identifiable risk factors are smoking, alcoholism and laryngo-pharyngeal reflux.


REFERENCES

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  2. Rosen CA, Simpson CB. Operative techniques in laryngology. Berlin: Springer-Verlar; 2008.

  3. Paul BC, Chen S, Sridharan S, Fang Y, Amin MR, Branski RC. Diagnostic accuracy of history, laryngoscopy, and stroboscopy. Laryngoscope. 2013; 123: 216-219.

  4. Bartlett RS, Heckman WW, Isenberg J, Thibeault SL, Dailey SH. Genetic characterization of vocal fold lesions: leucoplakia and carcinoma. Laryngoscope. 2012; 122: 336-342.

  5. Zeitels SM. Atlas of phonomicrosurgery and other endolaryngeal procedures for benign and malignant disease. San Diego, Singular; 2001.

  6. Fleskens SA, van der Laak JA, Slootweg PJ, Takes RP. Management of laryngeal premalignant lesions in the Netherlands. Laryngoscope. 2010; 120: 1326-1335.

  7. Cohen SM, Kim J, Roy N, Asche C, Courey M. Prevalence and causes of dysphonia in a large treatment-seeking population. Laryngoscope. 2012; 122: 343-348.




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An Med Asoc Med Hosp ABC. 2014;59