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Published on: December 1, 2023
[Clinical analyses of 113 aryepiglottic fold diseases]
1Department of Otolaryngology, Affiliated Eye Ear Nose & Throat Hospital, Fudan University, Shanghai 200031, China.
Objective:
To analyze the distribution and treatment of aryepiglottic fold diseases.
Methods:
The clinical data of the inpatients with aryepiglottic fold diseases at our department from January 2000 to May 2011 were retrospectively evaluated.
Results:
Among 113 cases, there were benign (n = 108) and malignant (n = 5) diseases. The three major symptoms were abnormal sensation of throat (n = 79), hoarseness (n = 29) and throat pain (n = 26). Among 108 benign cases, there were surgery under direct laryngoscopy (n = 100), aryepiglottic fold hemangioma undergoing laser under indirect laryngoscopy (n = 4), one with cyst and another with hemangioma undergoing tumor removal via an external thyrohyoid membrane approach (n = 2) and inflammation of aryepiglottic fold undergoing conservative treatment (n = 2). Among 5 malignant tumors, the procedures included total laryngectomy (n = 2) and semi-laryngectomy (n = 2). One patient had not any treatment after a definite diagnosis.
Conclusion:
Most aryepiglottic fold diseases are benign. Their major symptoms include abnormal sensation of throat, hoarseness and throat pain. Surgery under direct laryngoscopy is performed for benign diseases while laryngectomy for malignant ones. CO(2), Ho-YAG and KTP laser may also be used.
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