Base de dados : LILACS
Pesquisa : C08.360 [Categoria DeCS]
Referências encontradas : 185 [refinar]
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Id: biblio-869042
Autor: Aquino Valdovinos, Alicia María; Acosta Colmán, María Isabel; Boggino, Hugo; Duarte Mussi de Laterza, Margarita.
Título: Paciente joven con disfonía: un caso de amiloidosis poco habitual / Young patient with dysphonia: a case of unusual amyloidosis
Fonte: Mem. Inst. Invest. Cienc. Salud (Impr.);13(2):103-107, ago. 2015. tab.
Idioma: es.
Resumo: La amiloidosis es una enfermedad caracterizada por el depósito extracelular de fibrillas compuestas por subunidades de bajo peso molecular de una variedad de proteínas. Puede ser clasificada según su distribución y según la proteina fibrilar constituyente. La prevalencia varía según el área geográfica estudiada y el pronóstico depende del tejido u órgano afectado. Presentamos el caso de un varón jóven con disfonía de larga evolución sin otros síntomas acompañantes en cuya nasofibroscopía se observaron una tumoración en regíon laríngea. En la anatomía patológica se observó material hialino congofílico compatible con amiloide. Se realizó además una biopsia rectal donde también se observó material amiloide. Debido a la poca sintomatología y a la ausencia de compromiso de un órgano que comprometa la vida, en este paciente se optó por un manejo conservador.

Amyloidosis is a disease characterized by extracellular deposition of fibrils made of lowmolecular weight subunits of a variety of proteins. It can be classified according to itsdistribution and the fibrillar protein constituent. The prevalence varies by thegeographical area studied and the prognosis depends on the tissue or organ concerned.We present the case of a young man with longstanding dysphonia without otheraccompanying symptoms whose nasofibroscopy showed a tumor in the laryngeal region.In the pathological material, hyaline congophillic material compatible with amyloid wasobserved. A rectal biopsy was also performed and amyloid material was also observed.Due to the few symptoms and the absence of organ involvement that compromises life,we opted for a conservative management in this patient.
Descritores: Amiloidose/diagnóstico
Distúrbios da Voz/diagnóstico
-Doenças da Laringe
Limites: Seres Humanos
Masculino
Adulto
Responsável: PY3.1 - Biblioteca


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Id: biblio-838327
Autor: Kendigelen, Pinar; Tutuncu, Ayse C; Ashyralyyeva, Gulruh; Emre, Senol; Urkmez, Seval; Utku, Tughan; Kaya, Guner.
Título: Edema laringotraqueal a causa de una lesión térmica: Complicación tras una tiroidectomía en niños / Laryngotracheal edema due to thermal injury: A complication after thyroidectomy in children
Fonte: Arch. argent. pediatr;115(1):e31-e33, feb. 2017.
Idioma: en; es.
Resumo: La insuficiencia respiratoria posoperatoria es una complicación grave de la tiroidectomia, y su origen puede ser multifactorial, especialmente en los niños. Presentamos el caso de dos hermanos sometidos a una tiroidectomia que luego tuvieron dificultad respiratoria. Para la disección de la tiroides se emplearon un bisturí armónico y el sistema de sellado vascular bipolar electrotérmico. Ambos pacientes presentaron problemas para respirar tempranamente en el posoperatorio. El hermano mayor tuvo dificultad respiratoria leve durante 24 horas, que se resolvió espontáneamente. Se extubó a la hermana menor, pero tuvo estridor grave acompañado de tiraje intercostal y retracción abdominal. Se la volvió a intubar y se la trasladó a la UCI, donde se la conectó a un respirador. Permaneció en la UCI durante 14 días debido a múltiples intentos fallidos de extubación. Es probable que los síntomas fueran más graves en la niña pequeña debido a que la pared de la tráquea era más blanda y los cartílagos, más débiles. Es necesario considerar las posibles complicaciones respiratorias posoperatorias a causa de una lesión térmica o una técnica quirúrgica inadecuada tras una tiroidectomía.

Postoperative respiratory insufficiency is a serious complication of total thyroidectomies which can be multifactorial, especially in children. We report two siblings who had undergone thyroidectomy with subsequent respiratory distress. Electrothermal bipolar and harmonic scalpel were used during thyroid dissections. Both patients had early postoperative respiratory problems. The older one suffered from mild respiratory distress for 24 hours and then he spontaneously recovered. The younger one was extubated but then she had serious stridor accompanied with abdominal and intercostal retractions. She was re-intubated and admitted to ICU for mechanical ventilatory support, where she stayed for 14 days due to multiple failed extubation attempts. The symptoms were more severe in the younger child probably due to softer tracheal wall and weaker tracheal cartilages. We should keep in mind the probable postoperative respiratory complications due to thermal injury or inappropriate surgical technique after thyroid surgeries.
Descritores: Complicações Pós-Operatórias/etiologia
Tireoidectomia/efeitos adversos
Tireoidectomia/métodos
Doenças da Traqueia/etiologia
Queimaduras/complicações
Doenças da Laringe/etiologia
Edema/etiologia
Eletrocirurgia/efeitos adversos
-Queimaduras/etiologia
Complicações Intraoperatórias/etiologia
Limites: Seres Humanos
Masculino
Feminino
Pré-Escolar
Criança
Tipo de Publ: Relatos de Casos
Responsável: AR94.1 - Centro de Información Pediatrica


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Texto completo SciELO Brasil
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Id: biblio-1040030
Autor: Soares, Alex Bruno; Moares, Bruno Teixeira de; Araújo, Ana Nery Barbosa de; Biase, Noemi Grigoletto de; Lucena, Jonia Alves.
Título: Laryngeal and Vocal Characterization of Asymptomatic Adults With Sulcus Vocalis
Fonte: Int. arch. otorhinolaryngol. (Impr.);23(3):331-337, July-Sept. 2019. tab.
Idioma: en.
Resumo: Abstract Introduction Sulcus vocalis is defined as a longitudinal depression on the vocal cord, parallel to its free border. Its most marked characteristic is breathlessness, caused by incomplete glottal closure, in addition to roughness, due to the decrease in mucosal wave amplitude of the vocal cords. Vocal acoustic aspects, such as fundamental voice frequency, jitter, and shimmer, may also be altered in individuals with this type of laryngeal disorder. To assess the voice of individuals with sulcus vocalis, studies generally include a sample of subjects with vocal symptoms, excluding asymptomatic persons. To better characterize the vocal characteristics of individuals with sulcus vocalis, their asymptomatic counterparts must also be included. Objective Characterize the larynx and voice of asymptomatic adults with sulcus vocalis. Method A total of 26 adults, 13 with sulcus vocalis (experimental group) and 13 without (control group) were assessed. All the participants were submitted to suspension microlaryngoscopy, voice self-assessment, auditory perception and acoustic evaluation of the voice. Results Among the individuals with sulcus vocalis, 78% of the sulci were type I and 22% type II. Auditory perception assessment obtained statistically significant lower scores in individuals with sulcus vocalis compared with the control group, and a slight difference in the overall degree of hoarseness and roughness. No statistically significant intergroup diferences were found in self-reported voice or acoustic assessment. Conclusion Type I was the predominant sulcus vocalis observed in individuals without voice complaints, who may also exhibit slight changes in vocal quality and roughness.
Descritores: Prega Vocal/fisiopatologia
Doenças da Laringe/fisiopatologia
Laringe/fisiopatologia
-Percepção Auditiva
Acústica da Fala
Qualidade da Voz
Estudos Transversais
Limites: Seres Humanos
Masculino
Feminino
Adulto
Meia-Idade
Idoso
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Texto completo SciELO Brasil
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Id: biblio-1002175
Autor: Carvalho, Eduardo G. B; Machado-Júnior, Almiro J; Pauna, Henrique F; Nicola, Ester M. D; Altemani, Albina M. A. M; Crespo, Agricio N.
Título: The Effect of Fibroblast Growth Factors in Grafted Fascia into the Vocal Fold of Rabbits
Fonte: Int. arch. otorhinolaryngol. (Impr.);23(1):60-64, Jan.-Mar. 2019. tab, graf.
Idioma: en.
Resumo: Abstract Introduction The human larynx is a very important organ for communication. Many conditions lead to scarring of the vocal folds, decreasing voice quality. Objective We aimed to determine whether fibroblast growth factors (FGFs) may influence tissue integration of grafted fascia into the vocal folds of an animal model. Methods This is an experimental animal study with 12 adult rabbits that were submitted to a grafting fragment obtained from superficial cervical fascia into the vocal fold lamina propria, bilaterally. The right vocal fold was injected with FGFs. The animals were sacrificed after 1 month or 12 months, depending on the group they were assigned to, and a histological analysis of their vocal folds was performed.We analyzed the histological changes (such as the presence of fibrosis and neovascularization) induced by the acute or chronic inflammatory reactions. Results The FGFs induced acute inflammatory changes in all animals after 1 month of the initial experiment. The presence of FGFs triggered more fibrosis than the expected due to the surgical procedure itself when compared with the control side of all animals after 12 months of the initial experiment. Conclusions Fibroblast growth factors alone do not represent a good therapeutic option in phonosurgery, since we observed higher levels of fibrosis in the vocal fold lamina propria. Further studies combining more substances may be necessary to elucidate the best option to be used in this kind of surgery. (AU)
Descritores: Prega Vocal/patologia
Fascia Lata/transplante
Fatores de Crescimento de Fibroblastos/farmacologia
-Coelhos
Fibrose/etiologia
Doenças da Laringe/congênito
Inflamação/induzido quimicamente
Neovascularização Patológica/etiologia
Limites: Animais
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Tsuji, Domingos Hiroshi
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Id: biblio-1002171
Autor: Setton, Antonio Roberto Ferreira; D'avila, Jeferson Sampaio; Gurgel, Ricardo Queiróz; Tsuji, Domingos Hiroshi; D'avila, Daniel Vasconcelos; Góis, Carlos Rodolfo Tavares de; Meurer, Ana Taise de Oliveira; Gurgel, Helaina Peixoto.
Título: Variant of the Technique for Laryngeal Microsurgery in Cases of Difficult Laryngoscopy
Fonte: Int. arch. otorhinolaryngol. (Impr.);23(1):18-24, Jan.-Mar. 2019. tab, graf.
Idioma: en.
Resumo: Abstract Introduction Low exposure of the larynx can make laryngeal microsurgery difficult or even impossible. The application of rigid and contact endoscopy enabled oblique and retrograde angled visualization, allowing transoperative staging with greater reach of the anatomical areas. However, there is difficulty or even impossibility of performing the surgical act, due to the incompatibility of the angled path with the straight surgical tools. Objective To demonstrate the efficiency of the variant of the technique for laryngeal microsurgery in cases of difficult laryngoscopy and to analyze the new surgical instruments specific to the endoscopic procedure. Methods This is a cross-sectional retrospective study, based on the analysis of 30 medical records of patients treated surgically at a philanthropic hospital in the state of Sergipe, Brazil, between the years of 2014 and 2015. Results The technical variant used 30- and 70-degree endoscopes that provided complete oblique view of the endolarynx. The association of angled instruments (forceps, suction pumps, retractors and scissors) enabled the execution of the surgical procedures. Conclusion The association of rigid endoscopy with angled instruments promoted full visualization of the surgical lesion and operative resolution. (AU)
Descritores: Laringoscopia/métodos
Microcirurgia/métodos
-Brasil
Doenças da Laringe/cirurgia
Estudos Transversais
Estudos Retrospectivos
Laringoscopia/instrumentação
Limites: Seres Humanos
Masculino
Feminino
Adolescente
Adulto
Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Id: biblio-995914
Autor: Silva, Sther Soares Lopes.
Título: Principais patologias laríngeas em professores / Main laryngeal pathologies in teachers / Principales patologías laríngeas en profesores
Fonte: Distúrb. comun;30(4):767-775, dez. 2018. ilus.
Idioma: pt.
Resumo: Introdução: Os docentes estão expostos a diversos fatores de riscos ocupacionais, e acredita-se que qualidade vocal não está relacionada apenas com ausência de alteração, mas sim com bem-estar geral do indivíduo. Existem vários fatores que contribuem para o aparecimento de problemas vocais nos professores como: o uso inadequado da voz, competição vocal, sobrecarga vocal, hábitos inadequados como exemplo (cigarro e álcool). Objetivo: O presente estudo teve como objetivo analisar as principais alterações vocais em professores e consistiu em uma pesquisa bibliográfica, descritiva de caráter qualitativo. Método: Realizou-se um levantamento da literatura nacional e internacional, publicada nos idiomas Inglês, Espanhol, Português entre 2007 e 2017. Foram selecionados por meio das bases de dados "Biblioteca Virtual em Saúde" (BVS) e "Scientific Electronic Library" (SciELO), utilizando-se os descritores, professores, patologias da voz, saúde vocal e prevenção. Resultados: Observou-se que as principais patologias encontradas foram os nódulos, pólipos, edema de Reinke, cisto e sulco vocal. A rouquidão é o principal sintoma descrito pelos docentes, mas é preciso se preocupar com os demais sintomas sendo eles: fadiga vocal, falhas na voz, falta de ar, ardência na garganta, esforço para falar. Conclusão: Verificou-se na literatura estudada a sugestão de adotar uma política pública de saúde com o objetivo de educar e conscientizar os docentes quanto a noções de higiene vocal, estratégias de comunicação, economia vocal e valorização da profissão, que são ferramentas necessárias para diminuir os índices elevados de docentes com algum tipo de alteração vocal.

Introduction: Teachers are exposed to several occupational risk factors, and it is believed that vocal quality is related not only to absence of change, but to general well-being of the individual. There are several factors that contribute to the development of vocal problems in teachers such as: inadequate use of voice, vocal competition, vocal overload, inappropriate habits as an example (cigarette and alcohol). Objective: This study aimed to analyze the main vocal changes in teachers and consisted of a descriptive bibliographical research of a qualitative nature. Method: A survey of the national and international literature was published in English, Spanish and Portuguese between 2007 and 2017. The descriptors, teachers, voice pathologies, and vocal health were selected using the "Biblioteca Virtual em Saúde" (BVS) and "Scientific Electronic Library" (SciELO) databases. Results: It was observed that the main pathologies found were nodules, polyps, Reinke's edema, cyst and vocal groove. Hoarseness is the main symptom described by the teachers, but it is necessary to worry about the other symptoms being: vocal fatigue, voice failures, shortness of breath, burning throat, effort to speak. Conclusion: It was verified in the studied literature the suggestion of adopting a public health policy with the objective of educating and making teachers aware of notions of vocal hygiene, communication strategies, vocal economy and valorization of the profession are necessary tools to reduce the indices of teachers with some type of vocal alteration.

Introducción: Los docentes están expuestos a diversos factores de riesgo ocupacional, y se cree que calidad vocal no está relacionada sólo con ausencia de alteración, sino con el bienestar general del individuo. Hay varios factores que contribuyen a la aparición de problemas vocales en los profesores como: el uso inadecuado de la voz, competencia vocal, sobrecarga vocal, hábitos inadecuados como ejemplo (cigarrillo y alcohol). Objetivo: El presente estudio tuvo como objetivo analizar las principales alteraciones vocales en profesores y consistió en una investigación bibliográfica, descriptiva de carácter cualitativo. Métodos: Se realizó un estudio de la literatura nacional e internacional, publicado en los idiomas Inglés, español, portugués entre 2007 y 2017 fueron seleccionados a través de bases de datos "Biblioteca Virtual em Saúde" (BVS) y "Scientific Electronic Library" (SciELO), utilizando los descriptores, los maestros, las enfermedades de la voz, salud vocal y prevención. Resultados: Se observó que las principales patologías encontradas fueron los nódulos, pólipos, edema de Reinke, quiste y surco vocal. La ronquera es el principal síntoma descrito por los docentes, pero hay que preocuparse por los demás síntomas que son: fatiga vocal, fallas en la voz, falta de aire, ardor en la garganta, esfuerzo para hablar. Conclusión: Se verificó en la literatura estudiada la sugerencia de adoptar una política pública de salud con el objetivo de educar y concientizar a los docentes en cuanto a nociones de higiene vocal, estrategias de comunicación, economía vocal y valorización de la profesión son herramientas necesarias para disminuir los índices altos de docentes con algún tipo de alteración vocal.
Descritores: Voz
Qualidade da Voz
Doenças da Laringe
Saúde do Trabalhador
Prevenção de Doenças
Docentes
Limites: Seres Humanos
Adulto
Responsável: BR195.3 - Biblioteca Nadir Gouvêa Kfouri


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Id: biblio-1002187
Autor: Vasconcelos, Daniela de; Gomes, Adriana de Oliveira Camargo; Araújo, Cláudia Marina Tavares de.
Título: Vocal Fold Polyps: Literature Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);23(1):116-124, Jan.-Mar. 2019. graf.
Idioma: en.
Resumo: Abstract Introduction Vocal fold polyps are one of themost frequent benign laryngeal lesions, impacting the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions. As such, otolaryngologists and speech therapists need updated bibliographic knowledge on the issue. Objective To describe the literature findings on vocal fold polyps that discuss prevalence, etiology, histology, physiopathology, vocal characteristics or treatment. Data Synthesis The present study is a review article based on a bibliographic search using platforms, databases and search engines, with no restrictions on means of publication, methodological quality or language. All the articles on vocal fold polyps pertaining to the object of study published in the past 15 years were included. Among the characteristics investigated, the most discussed were prevalence of men, smoking as an etiological cofactor, the possibility of histological differentiation from vocal nodules, the relationship with cover minor structural alterations, and the indication and effectiveness of different treatment options. Conclusion Despite the discrepancies found in the present literature review on vocal fold polyps, there has been a notable scientific progress in the otolaryngologic techniques and in the effectiveness of speech therapy as initial treatment, with direct and indirect techniques, corroborating the need for scientific investigation of the issue.
Descritores: Pólipos
Prega Vocal
Doenças da Laringe
-Pólipos/diagnóstico
Pólipos/etiologia
Pólipos/fisiopatologia
Pólipos/patologia
Pólipos/terapia
Pólipos/epidemiologia
Tabagismo/complicações
Prega Vocal/patologia
Diagnóstico Diferencial
Limites: Seres Humanos
Masculino
Feminino
Tipo de Publ: Revisão
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Id: biblio-999318
Autor: Zuluaga Rincón, Lukas; Guzmán Ortiz, Kevin Adolfo; Hernández Alarcón, Victor Julio.
Título: Laringomalacia en pacientes con síndrome de apnea obstructiva del sueño: Reporte de casos / Laryngomalacia in patients with obstructive sleep apnea syndrome: Case report
Fonte: Acta otorrinolaringol. cir. cabeza cuello;46(4):311-317, 2018. tab.
Idioma: es.
Resumo: Introducción: El síndrome de apnea obstructiva del sueño, es una patología frecuente en nuestro medio y ha cobrado gran interés por su asociación a otras enfermedades. El colapso laríngeo es causa frecuente de no mejoría (persistencia de índice de apnea-hipopnea residual elevado) tras el manejo de otros niveles de la vía aérea. Objetivo: Realizar una descripción sociodemográfica y clínica de una serie de pacientes con laringomalacia y síndrome de apnea obstructiva del sueño. Diseño: Estudio de serie de casos. Métodos: Se realiza un reporte de casos de una serie de pacientes manejados en el Hospital Militar Central y Clínica Universitaria Hospital San Rafael de Bogotá, con síndrome de apnea obstructiva del sueño y laringomalacia a quienes se les realizó supraglotoplastia, entre los años 2015 - 2017. Resultados: Se incluyeron 11 pacientes con edad promedio de 6.8 años. El diagnóstico se realizó mediante somnoendoscopia. El tipo más frecuente de laringomalacia fue tipo III en 7 pacientes (63.6%), seguido de laringomalacia tipo II en 4 casos (36.3%). 6 de los pacientes (54.5%) presentaban un trastorno genético y/o neurológico asociado. La mayoría de los pacientes mejoraron su sintomatología durante el sueño, aunque 2 no presentaron un resultado favorable tras el procedimiento quirúrgico. Conclusiones: Los resultados de este estudio sugieren una relación entre laringomalacia y SAHOS en la edad pediátrica.

Introduction: Obstructive sleep apnea syndrome is a frequent disease in our region and due to its association with other diseases its importance is high. Larynx´s collapse is a frequent cause of non-improvement (persistence of residual apnea-hypopnea index) after treatment of other obstructive areas inside the airway. Objective: To perform a sociodemographic and clinical description of a series of patients with laryngomalacia and obstructive sleep apnea syndrome. Design: Case series. Materials and methods: We present a report of patients managed at the Hospital Militar Central and University Hospital "Clínica San Rafael" of Bogotá, with obstructive sleep apnea and laryngomalacia syndrome who underwent supraglotoplasty between the years 2015 - 2017. Results: Eleven patients with an average age of 6.8 years were included. The diagnosis was made by somnoendoscopy. The most frequent type of laryngomalacia was type III in 7 patients (63.6%), followed by type II in 4 cases (36.3%). 6 of the patients (54.5%) presented an associated genetic and/or neurological disorder. Most of the patients improved their symptoms during sleep, although some did not show a favorable result after the surgical procedure. Conclusions: The study results suggest a relationship between laryngomalacia and OSAS in children.
Descritores: Síndromes da Apneia do Sono
-Doenças da Laringe
Laringomalácia
Limites: Seres Humanos
Responsável: CO361.9


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Id: biblio-996647
Autor: de Almeida, Patricia Alves; Martins, Fernanda Amélia; Marostega, Ana Paula Lazzaretti; Pinto, Carlos Jose de Carvalho; Bricarello, Patrizia Ana; Lima, Lenilza Mattos.
Título: Mammomonogamus laryngeus: a human case report in florianopolis, Santa Catarina, Brazil
Fonte: Rev. patol. trop;47(4):255-260, dez. 2018. ilus.
Idioma: en.
Resumo: Mammomonogamus laryngeus (sin.: Syngamus laryngeus) is a nematode which parasites the respiratory tract of some animals. It is occasionally seen in humans, who present symptoms similar to other diseases with respiratory manifestations, such as a chronic dry cough and chest pain, in addition to a "foreign body" sensation in the throat. It can be diagnosed through rhinolaryngoscopy or bronchoscopy examinations, but this often occurs only after spontaneous expectoration of the worms, a long period of symptomatology and the use of several types of medication. In this report, we describe a case of syngamosis in Florianópolis (Santa Catarina, Brazil). The patient consulted several health professionals during the course of the disease and was prescribed numerous drugs. Diagnosis was eventually reached after the spontaneous expectoration of a nematode couple
Descritores: Doenças Respiratórias
Doenças da Laringe
Técnicas de Diagnóstico do Sistema Respiratório
Nematoides
Limites: Seres Humanos
Tipo de Publ: Relatos de Casos
Responsável: BR15.1 - Biblioteca de Ciências Biomédicas


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Texto completo SciELO Chile
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Id: biblio-902762
Autor: Santamaría C, Alfredo; Alarcón G, Ricardo; Sepúlveda A, Ilson; Fredes C, Felipe.
Título: Presentación inusual de fracturas laríngeas: reporte de dos casos de fracturas laríngeas no traumáticas / Unusual presentation of laryngeal fractures: report of two cases of non-traumatic laryngeal fractures
Fonte: Rev. otorrinolaringol. cir. cabeza cuello;77(2):193-196, jun. 2017. ilus, tab.
Idioma: es.
Resumo: Las fracturas laríngeas se producen principalmente en el contexto de traumas cervicales, ahorcamiento o estrangulamiento. Las fracturas laríngeas no traumáticas son excepcionales, existiendo escasos reportes en la literatura. A continuación, presentamos dos casos de fracturas laríngeas no traumáticas evaluadas en nuestro servicio.

Laryngeal fractures occur mainly in the context of cervical trauma, hanging or strangulation. Nontraumatic laryngeal fractures are rare and there are fewreports in the literature. We present two cases of nontraumatic laryngeal fractures evaluated in our service.
Descritores: Doenças da Laringe/diagnóstico
Laringe/lesões
-Espirro
Tomografia Computadorizada por Raios X
Doenças da Laringe/etiologia
Doenças da Laringe/tratamento farmacológico
Corticosteroides/uso terapêutico
Deglutição
Laringoscopia
Anti-Inflamatórios/uso terapêutico
Limites: Seres Humanos
Masculino
Adulto
Tipo de Publ: Relatos de Casos
Revisão
Responsável: CL1.1 - Biblioteca Central



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