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Reinke's edema: a proposal for a classification based on morphological characteristics.

Marco de Vincentiis1, Massimo Ralli2, Fabrizio Cialente3

  • 1Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|April 15, 2020
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Summary

This study proposes a new, simple classification for Reinke's edema based on vocal fold swelling and polypoid lesions, aiding diagnosis through laryngoscopy.

Keywords:
ClassificationMicrolaryngoscopyReinke’s edemaVocal fold

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Area of Science:

  • Otolaryngology
  • Laryngeal Pathology
  • Vocal Fold Disorders

Background:

  • Reinke's edema is a benign condition affecting the vocal folds.
  • It involves swelling of the superficial lamina propria of the vocal fold.
  • Current classifications may lack morphological specificity.

Purpose of the Study:

  • To introduce a novel classification system for Reinke's edema.
  • The classification is based on observable morphological characteristics.
  • Aiming to simplify diagnosis and understanding of the condition.

Main Methods:

  • A synthesis of existing literature classifications was performed.
  • Classification criteria include vocal fold laterality (unilateral/bilateral).
  • Presence or absence of associated polypoid lesions is also considered.

Main Results:

  • Four distinct types of Reinke's edema are proposed.
  • Type 1: Unilateral vocal fold edema.
  • Type 2: Bilateral vocal fold edema.
  • Type 3: Unilateral edema with a polypoid lesion (on same or contralateral fold).
  • Type 4: Bilateral edema with polypoid lesion(s) on one or both folds.

Conclusions:

  • The proposed classification offers a straightforward approach to categorizing Reinke's edema.
  • It relies on morphological features readily identifiable during laryngoscopy.
  • This system aims to enhance clinical utility and diagnostic consistency.