Paracoccidioidomycosis (PCM) is a systemic disease that in its aftermath form is characterized by clinical manifestations related to anatomic or functional sequelae of organs and systems affected during the period of state. To describe the anatomical and functional sequelae in patients with treated laryngeal PCM. Retrospective study. We reviewed the charts from of 49 male patients, aged between 30 to 60 years, diagnosed with laryngeal PCM during the period of 1999 to 2004. In all patients the diagnosis of PCM was confirmed by demonstration of the fungus in sputum, cytological or histopathological examination and being followed up by the Infectious and Parasitic Diseases Department. The vocal folds were the most affected laryngeal structure, being affected in 67% of the patients. The epiglottis and the aryepiglottic folds were affected in 55% and 53% of the cases, respectively. Vestibular folds were changed in 46% of the patients. In 40% of the cases there were changes in the arytenoids. During phonation, 28% of the patients showed limited movement of the vocal folds, unilateral vocal fold paralysis was found in 4%. 24% of the cases had glottic lumen reduction and 4% showed glottic stenosis, 2% needed tracheostomy. Sequela lesions of the laryngeal PCM are extensive and cause functional limitations in most cases.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9442222 | PMC |
http://dx.doi.org/10.1590/s1808-86942011000100007 | DOI Listing |
Eur Arch Otorhinolaryngol
December 2024
Department of Otolaryngology-Head and Neck Surgery, The Second Affiliated Hospital Of Xi'an Jiao Tong University, Shann' xi Province, 157th in Xi'wu Road, Xi'an, 710004, China.
Objective: To evaluate the injuries of the recurrent laryngeal nerve (RLN), superior laryngeal nerve (SLN), and their innervated laryngeal muscles on the non-paralyzed sides in patients with idiopathic vocal cord paralysis (IVCP).
Methods: Eighty-four cases of patients with IVCP were evaluated using stroboscopic laryngoscopy, voice analysis, and laryngeal electromyography(LEMG). Concurrently, twenty-eight cases involving healthy volunteers without vocal cord paralysis were enrolled and examined using LEMG during the same period.
Pract Radiat Oncol
January 2025
Department of Radiation Oncology, University of Pittsburgh Medical Center Hillman Cancer Center, Williamsport, Pennsylvania.
Laryngoscope Investig Otolaryngol
February 2024
Eur Arch Otorhinolaryngol
May 2024
Department of Biomedical and Clinical Sciences, L. Sacco Hospital, University of Milan, Milan, Italy.
Head Neck
February 2024
Department of Radiation Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
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