patologie laringiana
TRANSCRIPT
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PATOLOGIA LARINGIANÃ
Magdalena Chirilã
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Anatomie
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Anatomie
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Anatomie
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Funcţiile laringelui
Respiratorie
De protecţie
Fonatorie
intensitate
inalţime
timbru
Tuse şi expectoraţie
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Insuficienţa respiratorie acutã
obstructivã superioarã
Semne majore1. Bradipnee inspiratorie
2. Coborarea laringelui in inspir
3. Tiraj suprasternal si supraclavicular
Semne minore1. Tiraj intercostal,
subcostal, sternal2. Disfonie 3. Cornaj/stridor4. Turgescenta venelor
jugulare5. Hiperextensia capului6. Silentium ascultator la
bazele pulmonare7. Puls paradoxal Küssmaull
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Insuficienţa respiratorie acutã
obstructivã superioarã
Faza compensata Bolnav agitat, Tegumente si mucoase normal
colorate
Faza decompensata Tahipnee Somnolenta Tegumente roz cianotice Tahicardie Respiratie superficiala Coma deces
Tratament URGENTA Indepartarea cauzelor
ostructive Oxigenoterapie IOT Traheostomie
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Traheostomia
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2.
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Malformaţiile laringelui
Congenitale Malformatiile epiglotei
bifidain omega, potcoava
Glota palmata Laringoptoza Laringomalacia Chiste valeculare si ale
plicilor ariepiglotice Hemangioame “Crie du chat”-defect de
adductie CV
Dobandite
Stenoze
posttraumatice
iatrogene
postinhalare de acizi, baze
Laringocelul
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Congenitale
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Dobândite
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Traumatismele laringelui
externe
Deschise=plagi
Accidental / agresiune
Perforante / neperforante
Simptome:
şoc
hemoragie
dispnee
tuse
expectoratie
Tratament
IOT/ traheostomie
Hemostaza
Combaterea soc
Oxigenoterapie
Antibioterapie
Trat. chirurgical al plagii
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Traumatismele laringelui
externe
Inchise Mec: direct
indirect Grade:o I: contuzie externă +
hematom mucos
o II: edem + hematom+ leziuni mucoase
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III: fractura cu disclocare+ edem+ leziuni mucoase+ imobilitatea CVIV: triada: leziunicervicale+edem masivcircular+asfixieV: rezectie totala laringo-traheala
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SpitalizareAntibioterapieAntiedematoase (HHC)AntialgiceAntitusiveSedativeRepaus vocalTraheostomie/IOTStenoze-trat chirurgical (laser, Rethi)
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Traumatismele laringelui
interneGranulomul postintubatie 1/3 posterioara a CV intubatie prelungita Rezectie laser
“Coup de foudre”= lovitura de bici Afonie brusca in urma unui efort
brutal Hemoragie submucoasa 1/3
medie CV Repaus vocal absolut,
hemostatice, antiinflamatorii antitusive aerosoli cu mucolitice
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Traumatismele laringelui
interneArsurile laringeluio Ag. Fizici (vapori, gaze)o Ag.chimici (acizi, baze)
Durere, spasm, dispnee, disfonie, tuse
Leziuni postiradiere Radiodermita ac, subac Edem laringian Stenoze postiradiere Scleroze musculare
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Corpii strãini laringieni
copil ……..varstnicSimptome: f(localizare,
marime) Dispnee brusca Spasm glotic Tuse Cianoza Disfonie Asfixie mecanica
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Corpii strãini laringieni
Tratament:
Manevra Heimlich
Endoscopie cu tub rigid+ extractie
Traheostomie
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Criteriu de
clasificare Laringita acută
Etiologic
1. Infecţioasă 1.1. Virală specifică
nespecifică
1.2. Bacteriană specifică
nespecifică
1.3. Micotică
2. Alergică
3. Termică
4. Inhalatorie
5. Medicamentoasă
6.Edemul neinflamator
al laringelui
Clinic Dispneizantă
Striduloasă
Hiperalgică
Anatomic Supraglotică
Glotică
Subglotică
Anatomo-patologic Catarală
Edematoasă
Flegmonoasă
Ulcero-necrotică
Vârstă A copilului
A adultului
Evolutiv
Simplă (banală)
Recidivantă
Complicată Pericondrită
Flegmon
Abces
Forma de trecere la stadiul cronic
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Laringite acute
nespecifice
Laringita acuta catarala-sezonul virozelor
respiratorii-disfonie 10-14 zileLI:-congestia mucoasei
laringiene, mai ales CV-sufuziuni sangvine
Complicatii: flegmon; pericondrita; artrita crico-aritenoidiana
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Th: repaus vocalnebulizareAntiinflamatoareantibiotic antitusivtrat. foniatric
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Laringite acute
nespecifice ale copilului
Laringita acuta edematoasasubglotica
-sub 5-6 ani-v. gripale, rujeolic-fav.: adenoidita acutaSub:viroza + dispnee
inspiratorie rapid progresiva+ voce nealterata
Ob: edem+congestiesubglotica
Th: HHC 10mg/kg/ziAB cu spectru latg
IOT /traheostomie
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Laringite acute
nespecifice ale copilului
Laringita striduloasa=spasm laringian brusc in plina
noapte: respiratie dificila, tiraj supraclavicular
cianoza, pierderea constientei relaxare musc intrinseca si
revenirefav: adenoidite, rinite purulenteTh: vegetatii adenoide
CalciuAntispastic
Sd JACKSON-CHEVALIER-sub 2-3 ani- AdenovirusuriInflamatie difuza subglotica +
trahee + bronsiiSecretii fibrinoase….crusteIRsAOSTh: HHC
ABaerosoli cu mucoliticetraheostomia…….bronhoscpii repetate+laval bronsic
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Laringite acute
specifice
gripala
herpetica
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Laringite acute
specifice
moniliaza
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Laringitele edematoase
Epiglotita acutaSub: -febra 39-40ºC
-disfagie+ odinofagie-senzatie de corp strain-otalgie reflexa-disfonie moderata-dispnee progresiva
Ob:congestie+edem epiglotaTh:HHC
Amoxicilinaantialgic
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Laringitele edematoase
Pericondrita si condritaPostop, posttraum, postradioth, post
IOTSub:durere acc de palpare/deglutitie
febradispnee inspiratorie
Ob:edem+congestie laringiana-semne celsiene cervical antTh: HHC, ABChiuretaj+drenajTraheostomie
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Edemul neinflamator al laringelui
a. Obstrucţia venoasă sau presiune
venoasă crescută
sindromul de venă cavă
superioară
disecţia cervicală radicală
insuficienţa cardiacă congestivă
b. Obstrucţia limfatică
infiltrare neoplazică
disecţia cervicală radicală
iradiere cervicală
c. Permeabilitate capilară crescută
edem alergic
edem angioneurotic
d. Scăderea presiunii oncotice a
plasmei (hipoalbuminemie)
nutriţională
ciroză hepatică
sindrom nefrotic
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Laringitele cronice
= persistenţa timp de trei luni
sau mai mult a uneia dintre
următoarele simptome:
disfonie ce se agravează la
efort vocal;
persistenţa sau recurenţa
odinofagiei în absenţa
semnelor de infecţie;
raclajul gâtului (hemaj)
sau tuse în absenţa unei
infecţii pulmonare sau
bronşice.
Condiţii nefavorabile (poluare) de muncă
şi viaţă;
Fumatul şi alcoolul excesiv, igiena
necorespunzătoare bucofaringiană, focare
dentare multiple;
Infecţii cronice de vecinătate rino-sinusală
şi adenoidiene;
Respiraţia prelungită bucală determinată
de leziuni obstructive nazale (polipoză
nazală, deviaţii de sept, rinitele cronice
hipertrofice, alergie rino-sinusală, tumori
benigne sau maligne);
Supuraţiile cronice bronho-pulmonare;
Afecţiunile cronice hepato – renale,
diabetul zaharat, reumatismul;
Avitaminoza A;
Refluxul gastro-esofagian (GER).
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Laringitele roşii
Laringita catarala cronica-congestie moderata-pareza miopatica asociata-secretie sero-
mucoasa/fibrinoasa-RGETh –th reflux gastro-esofagian
-aerosoli cu mucolitice-AINS-repaus vocal relativ-eliminarea cauzelorfavorizante
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Laringita pahidermica rosie
- cordita unilaterala = monocordita
- Cordita in insule
- Cordita pahidermica posterioara = ulcerul de contact
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Laringitapseudomixomatoasa
-marii fumatori
-edem al spatiului Reinke
-aspectul gelatinos al CV a carei margine“flutura” in fonatie
Th: rezectie Laser
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Laringitele albe
Laringita cronica atrofica
-simpla / ozenoasa
-atrofia mucoasei laringiene:
mucoasa palida
secretii uscate galbene saugalben-verzui
Th:-instilatii cu vitamina A
-spray cu cortizonice
-iritante laringiene-
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Leucoplazie
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Nodulii vocali
-utilizarea defectuoasa a laringelui:
copii isterici
educatori, invatatori
cantareti fara tehnica
Th: foniatrie
rezectie laser
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Papilomul
cornos Tratamentul laringitelor
cronice
=f(gradul leziunilor CV):
-Eliminarea cauzelor
-Evitarea efortului vocal
-Repaus vocal prelungit
-Hidratare corespunzatoare
-Aerosoli cu mucolitice
-Vitamina A
FONIATRIE
CHIRURGIE: obligatoriu EHP (exc.
Laringita cr simpla si nodulii vocali moi)
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Manifestările faringo-laringiene ale
refluxului gastro-esofagian
Pahidermia interaritenoidiana
-RGE
-congestia pliciiinteraritenoidiene + “creasta de cocos” interaritenoidiana
Th:-inhibitori de pompa de H+
-antiacide
-medazepam
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Laringitele cronice specifice
TBC laringianMonocordita Tuberculom
Miliara
Lupus Infiltro-vegetanta
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Laringitele cronice specifice
Sifilis laringian
Sifilis II Goma
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Laringitele cronice specifice
Dermatoze buloase
Pemfigus
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Tulburari motorii ale laringelui
Paralizie unilaterala
Gerhardt op Kashima
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Tulburari motorii ale laringelui
Hemiplegiile asociate
Avelis IX + X bulbar
(hemival+hemilaringe)
Schmidt IX + Xb + XI
(hemival+hemilaringe + m. SCM si trapez)
Jackson X + XI + XII
(hemilaringe+musc + hemilimba)
Vernet IX + X + XI=sd gaurii rupte
posterioareCollet-Sicard
IX + X +XI + XIIVillaret
IX + X + XI + XII + simpatic cervical (Claude Bernard-Horner)
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Tumori benigne laringiene
Polip laringian
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Tumori benigne laringiene
Papilomatoza laringiana
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Tumori benigne laringiene
Amiloidoza
Tiroida ectopica
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Tumori maligne laringiene
Cancerul glotic
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Tumori maligne laringiene
Cancerul gloticT1 T2
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Tumori maligne laringiene
Cancerul glotic
T3
T4
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Tumori maligne laringiene
Cancerul supraglotic
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Tumori maligne laringiene
Cancerul supragloticT1 T2
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Tumori maligne laringiene
Cancerul supraglotic
T3
T4
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Tumori maligne laringiene
Cancerul infraglotic si transgloglotic
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Cancerul de sinus piriform
T4
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Cancerul de sinus piriform
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Tumori maligne laringiene
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Adenopatii cervicale
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Diagnosticul pozitiv
1. Diagnosticul clinic
Anamneza
Data si modalitatea de debut
Semne functionale ORL
Varsta
Examenul clinic
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Paraclinic
Minimale
a). Examinări complementare
formula sangvină şi numărarea
plachetelor,
VSH
IDR la tuberculină,
b). Imagistica
Radiografia pulmonară de faţă şi profil
Ecografia cervicală este
indispensabilă în faţa
unei tumefacţii cervicale.
c). Panendoscopia.
Opţionale
Serologia pentru mononucleoză
infecţioasă, reacţia Paul-
Bunnell- Davidsohn, dye-
test, toxoplasmoză.
Computertomografia de
preferinţă cu substanţă de
contrast.
Rezonanţa magnetică
Tomografia cu emisie de
pozitroni (PET-scan).
Puncţia sternală pentru
mielogramă, într-un serviciu
specializat.
Puncţia citologică ganglionară .
Cervicotomia exploratorie cu
examenul histopatologic
extemporaneu al ganglionului
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Diagnostic etiologic-inflamatorii
Acute virale:
Banale (VRS,
adenov)
MNI
CMV
Bacteriene:
Stafilo, strepto
adenoflegmonul
Subacute bacteriene:
TBC
Boala ghearelor de
pisica
Tularemia
Bruceloza
Actinomicoza
Parazitare:
toxoplasmoza
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Diagnostic etiologic-neinflamatorii
Reticuloze:
Sarcoidoza
Leterrer-Siwe
Rosai-Dorfman
Metastatice
Hemopatii maligne:
Limfom Hodgkin
Limfom NH
LLC B
Leucoze acute
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Glande salivare
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Evaluare
Clinic
Sialografia
Sialadenoscopia
Echografia
CT cu substanta de contrast
RM
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Patologia non-neoplazică a glandelor
salivare
Sialadenite acute
Supurate (strepto, stafilo)
Virale (urlian, Coxsackie,
parainfluenta, CMV, HIV)
Sialadenite cronice
Nespecifice
Fibroza chistica
Sialolitiaza
Sjőgren
Granulomatoze (TBC,
sarcoidoza, Wegener,
boala ghearelor de pisica)
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Patologia neoplazică a glandelor
salivare
Adenoame
Carcinoame
Tumori non-epiteliale
Limfoame
Tumori secundare
Hiperplazia limfoida chistica din AIDS
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Adenom pleomorf
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Tumora Whartin
(chistadenolimfom)
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Carcinomul mucoepidermoid
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Carcinomul adenoid-chistic
(cilindromul)
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Carcinomul adenoid-chistic
(cilindromul)
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Adenocarcinoma