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[Chronic laryngitis in adults]
Olfa Ben Gamra1, Chiraz Mbarek, Salma Charfi
1Service ORL & Chirurgie Cervico-Faciale, Hôpital Habib Thameur Tunis, Tunisie.
Background:
Chronic laryngitis is a lingering inflammation of the laryngeal mucosa, caused by specific aetiology and often irritative factors.
Aim:
To discuss clinic and therapeutic aspects of the pathology.
Methods:
We report a retrospective stuy about 25 patients treated and followed for non specific chronic laryngitis over a period of 11 years (1994-2004).
Results:
The average age of the patients was 54.2 years. Tobacco intoxication was noted in 72.7 of cases and Gastroesophageal reflux in 2 cases. The endoscopic examination of laryngeal lesions, realised in all cases, notes laryngeal keratosis in 88% of cases and congestive laryngitis in 12%. Histological analysis of the lesions reveals a dysplasia in 44% of cases. Clinical and endoscopic follow up of the patients discover malignant development in 5 patients.
Conclusion:
The treatment of chronic laryngitis is based on the suppression of etiologic factors and on laryngeal microsurgery with micro instruments and with laser techniques.
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