Abstract：
This case report describes a man in his mid 40s, with a history of chronic smoking, who presented with dysphonia. He underwent microlaryngoscopy and biopsy for a suspicious lesion on the anterior right vocal cord. Mask ventilation proved difficult on induction of general anaesthesia due to a solid lesion acting as a ball valve into the glottis. This mass was LASER debulked and sent for histopathology. This demonstrated a haematoma, likely traumatic in origin, with some polypoidal features, consistent with advanced Reinke\'s oedema. Reinke\'s oedema is a benign condition where chronic inflammation causes fluid accumulation within the vocal cords. Long-standing inflammation leads to disarrangement of the vocal cord lamina propria, causing fluid accumulation and thereby resulting oedema of the vocal cords. This process can subsequently lead to polyp formation and can cause gravelly voice. This case report describes the potential airway sequelae of this benign condition.
摘要：
这个病例报告描述了一个40多岁的男人,有慢性吸烟史,出现发音障碍的人.他接受了显微喉镜检查和活检，发现右声带前可疑病变。由于固体病变充当球形阀进入声门，因此面罩通气在诱导全身麻醉时很困难。此肿块被激光切除并送去组织病理学检查。这证明了血肿，可能是创伤性的，具有一些息肉状特征，与Reinke的晚期水肿一致。莱因克的水肿是一种良性疾病，慢性炎症会导致声带内的液体积聚。长期的炎症导致声带固有层紊乱，引起液体积聚，从而导致声带水肿。这个过程随后可能导致息肉形成，并可能导致沙哑的声音。此病例报告描述了这种良性疾病的潜在气道后遗症。
