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Scleroma of the larynx

Published online by Cambridge University Press:  29 June 2007

N. K. Soni
N. K. Soni*
Affiliation:
Department of ENT, Medical College, Kota, India.
*
Address for correspondence: Dr N. K. Soni, 12-A Adarsh Colony, Medical College Road, Bikaner 334003, India.
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Abstract

Twenty-two cases of rhinoscleroma were studied to determine the involvementof the larynx. The study revealed that scieroma affected the larynx in 40 per cent of cases. In the larynx, scleromatous lesions were found in the subglottic region and the disease was observed in stages i.e. atrophic, granulomatous (proliferative i.e. nodular) and afibrotic or sclerotic (scarring) stage as found in the nose. The role of laryngological examination is established in the diagnosis of asymptomatic and early laryngeal lesions and in assessing response to initial treatment. Extensive granulomatous lesions were treated by open excision by the laryngofissure approach which was found to be the best method resulting in a quick recovery without any evidence of subglottic stenosis. The disease as a whole is discussed in the light of available literature.

Keywords

RhinosderomaLarynx
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 438 - 440
Copyright
Copyright © JLO (1984) Limited 1997

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References

Abou-Bih, A., Bedawy, A. (1975) Otoscleroma. Journal of Laryngology and Otology 89: 545–547.CrossRefGoogle Scholar
Acuna, R. I. (1973) Endoscopy of the air passage with special reference to scleroma. Annals of Otology, Rhinology and Laryngology 82: 765–769.CrossRefGoogle ScholarPubMed
Badrawy, R. (1966) Affection of bone in rhinoscleroma. Journal of Laryngology and Otology 80: 160–172.CrossRefGoogle ScholarPubMed
Barbary, A., Fouad, H., Fatthi, A. (1974) Scleromaaffecting the middle ear with a report of three cases. Annals of Otology, Rhinology and Laryngology 83: 107–110.CrossRefGoogle ScholarPubMed
Chatterji, P., Soni, N. K., Agarwal, B. (1983) Surgical treatment of scleroma larynx. Bihar Journal of Otolaryngology 4: 5–7.Google Scholar
Chatterji, P., Verma, S. M., Mathur, J. S. (1969) Rhinoscleroma of the antrum and ethmoid. Journal of Laryngology and Otology 83: 917–922.CrossRefGoogle ScholarPubMed
Ellis, M. (1971) Chronic laryngitis. In Scott Brown's Diseases of the Ear, Nose and Throat. 3rd Edition (Ballantyne, J., Groves, J., eds.), Butterworths, London p 333.Google Scholar
Gaafar, H. A. (1983) Endoscopy of the lower respiratory tract scleroma. Endoscopy 15: 197–199.CrossRefGoogle ScholarPubMed
Gamea, A. M. (1990) Role of endoscopy in diagnosing scleroma in its uncommon sites. Journal of Laryngology and Otology 104: 619–621.CrossRefGoogle ScholarPubMed
Goldberg, S. N., Canalis, R. F. (1980) Rhinoscleroma as a cause of airway obstruction. Ear, Nose and Throat Journal 59: 145–149.CrossRefGoogle ScholarPubMed
Holinger, P. H., Gelman, H., Wolfe, C. (1977) Rhinoscleroma of the lower respiratory tract. Laryngoscope 87: 1–9.CrossRefGoogle ScholarPubMed
Reddy, G. R., Ahmed, S. M., Bose, K. N., Prasad, A. S., Hayath, M. S., Reddy, E. S. (1995) Rhinoscleroma of trachea. Indian Journal of Otolaryngology and Head and Neck Surgery 47: 235–237.CrossRefGoogle Scholar
Saad, E. F. (1988) Antroscleroma. Journal of Laryngology and Otology 102: 360–364.CrossRefGoogle ScholarPubMed
Soni, N. K. (1992) Antroscopy in rhinoscleroma. Journal of Laryngology and Otology 106: 697–698.CrossRefGoogle ScholarPubMed
Soni, N. K. (1994) Scleroma of the lower respiratory tract. Journal of Laryngology and Otology 108: 484–485.CrossRefGoogle ScholarPubMed
Soni, N. K., Choudhary, J. N., Chatterji, P. (1985) Scleromatous lymphadenitis. Ear, Nose and Throat Journal 64: 540–542.Google ScholarPubMed
Soni, N. K., Hemani, D. D. (1994) Scleroma of the Eustachian tube: Salpingoscleroma. Journal of Laryngology and Otology 108: 944–946.CrossRefGoogle ScholarPubMed