SABA 186 4TH YEAR MBBS STUDENT RAWALPINDI MEDICAL UNIVERSITY PTHOLOGY PRESENTATIONS

1. ACUTE AND CHRONIC
INFLAMMATIONS OF LARYNX
CHAP 58
REINKE’S EDEMA
TUBERCULOUS LARYNGITIS
LUPUS LARYNGITIS

2. REINKE’S EDEMA

3. Bilateral
Symmetrical
Middle aged men and women
Subepithelial space (reinke’s space)
• CAUSES
 Misuse of voice
 Heavy smoking
 Chronic sinusitis
 Laryngopharyneal reflux

4. • SYMPTOMS
 Hoarseness of voice
 Low pitched rough voice
• EXAMINATION
 Fusiform swelling (fluid filled bags)
 Pale Translucent
 Hyperemic ventricular bands( capillaries
are visible)
 Hypertrophied

5. • TREATMENT
 Decortication of vocal cords
 Voice rest
 Speech therapy

6. TUBERCULOUS LARYNGITIS

8. • PATHOLOGY
Bronchogenic spread
infected sputum
interarytenoid region
submucosal tubercles
ulceration And caseation

9. • SYMPTOMS AND SIGNS
• Throat pain
• Reffered Otalagia
• Hoarseness with weakness of voice
• Painful speech
• Dysphagia

10. • LARYNGEAL EXAMINATION
Hyperemia
Swelling
Ulceration (mouse nibbled appearance)
Granulation tissue
Pseudoedema (Turban epiglottis)
Marked pallor

11. a- Hyperemic and flat lesion, with smooth surface of right true vocal fold—example of
nonspecific inflammatory lesion. b- Hyperemic lesion, with exophytic appearance with rough
surface located in the false vocal folds–example of granulomatous lesion. c- Example of
ulcerated lesion with fibrin located in aryepiglottic fold and right arytenoid region.d- Example of
erosive lesion of the right half of the epiglottis.

12. • DIAGNOSIS
X ray chest
Sputum examination and culture
Biopsy of laryngeal lesion
• TREATMENT
Same as pulmonary tb

13. LUPUS OF LARYNX
• Indolent tuberculour infection
• No pulmonary tb
• Anterior > posterior
• Epiglottis > aryepiglotic folds > ventricular
bands
• Painless asymptomatic
• Treatment: antituberculour drugs