[Laryngeal manifestations of sarcoidosis]

The diagnosis, in our department, of two cases of sarcoidosis involving the larynx has brought us to carry out an exhaustive review of the literature. One hundred and four cases of sarcoidosis involvement of the larynx have been found, 3 of these causing paralysis of the vocal cords. To these we add our own cases: one with vocal cord paralysis and one with upper glottic attack. The pathogenesis is recalled. The clinical, biological and anatomo-pathological manifestations are set out in detail. The various therapeutic proposals are recalled. Basic treatment depends on systemic corticotherapy at a dosage of 30-80 mg of prednisone throughout several months. We use the CO2 laser to destroy the obstructive laryngeal lesions. We recommend endoscopic arytenoidectomy by CO2 laser in cases of paralysis of the vocal cord dilators where the quality of the voice is essential and the physical demands slight. In contrast, where respiratory ventilation must be given importance, King's arytenoidopexy is to be preferred.