关键词: American Laryngological Association Benign laryngeal pathology Classification proposal European Laryngological Society Vocal fold scar

Mesh : Cicatrix / classification pathology Epithelium / pathology Humans Laryngeal Diseases / classification etiology pathology Mucous Membrane / pathology Vocal Cords / pathology surgery

来  源:   DOI:10.1007/s00405-019-05489-3   PDF(Sci-hub)

Abstract:
OBJECTIVE: Vocal fold scar is one the most challenging benign laryngeal pathologies. The purpose of this paper is to propose a classification that will allow for a common description of this entity between laryngologists, prevent discrepancies in interpretation, allow for comparison of related studies, and offer a training tool for young laryngologists.
RESULTS: Based on the depth and laterality of scarring, we propose 4 types: type I, characterized by atrophy of lamina propria with/without affected epithelium; type II, where the epithelium, lamina propria, and muscle are affected; type III, where the scar is located on the anterior commissure; type IV, which includes extended scar formation in both anteroposterior and rostro-caudal axis with significant loss of vocal fold mass.
CONCLUSIONS: We believe that our proposal is comprehensive and encompasses all existing iatrogenic and non-iatrogenic etiologies in a simple and concise manner. It also serves its purpose as a descriptive, comparative, and training tool.
摘要:
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