6 - ENT - Upper airway - Voice - Causes of voice change - Structural/neoplastic Flashcards Preview

CP2 > 6 - ENT - Upper airway - Voice - Causes of voice change - Structural/neoplastic > Flashcards

Flashcards in 6 - ENT - Upper airway - Voice - Causes of voice change - Structural/neoplastic Deck (11):
1

Laryngeal carcinoma - causes? symptoms? management?

smoking, genetic

progressive hoarseness/voice change, stridor, referred otalgia, dysphagia

radiotherapy, partial/total laryngectomy

2

Laryngeal carcinoma - signs?

raised, thick irregular mass with leukoplakia and erythema
narrowing of airway
cervical lymphadenopathy

3

4 benign lesions causing voice changes

nodules, polyps, reinke's oedema, cycts

4

Nodules - causes + management

voice abuse, reflux

voice therapy, surgical excision if unresponsive

5

nodules - S+S

Sx - husky voice, worsens with use, loss of higher freq, peri-laryngeal discomfort

si - bilateral swellings (hourglass appearance)

6

polyps - causes and mgmt

shouting when suffering with cold/reflux - more common in MEN

voice therapy, surgical excision

7

polyps - S+S

Sx - husky voice, worsens with use, voice cuts out during speech, choking if LARGe

Si - unilateral, grey/haemorrhagic

8

reinkes oedema - causes and mgmt

smoking, hypothyroidism, voice abuse, reflux

stop msoking, surgical reduction, mgmt of reflux, voice therapy

9

reinkes oedema - S+S

Sx - deep pitched, gravelly voice, choking if severe
Si - bilateral grey/erythematous swellings along length of vocal fold

10

Cysts - causes and mgmt

may follow laryngeal inflammation, or be congenital

surgical excision

11

cysts - S+S

Sx - husky voice, pitch breaks, loss of vocal range, increased effort required

Si - unilateral nodular swelling

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