- Excessive use of alcholol.
- Vocal abuse.
- Chronic postnasal discharge with laryngeal irritation.
- Endocrine dyscrasia.
- Vitamin A and B deficiency.
- Virus infection.
Pachydermia laryngis Diagnosis:The objective mirror examination is characteristic. The physician may find discrete or confluent, flat or papillary, grey-white, irregular patches covering the laryngeal mucosa. The patches may occasionally involve one side only, but more often they are irregularly bilateral in distribution. One may observe strict demarcation between normal mucosa and the borders of involved tissue. There is always an inflammatory cell infiltration of the subepithelial tissue. Treatment: Treatment Options: Both medical and surgical techniques are usually employed. In general, medical management is based on variety of therapeutic agents. Some of the more common ones are sulfonamide drugs and penicillin. The antibiotics administered by aerosol, lozenges, spray and by oral parenteral methods. Apart from this vitamin supplementation may also be helpful. From the surgical viewpoint, stripping of the involved laryngeal mucous membrane is considered as treatment of choice. The surgery will performed under general anesthesia. Technically, this procedure may be carried out with the aid of the Robert retention laryngoscope, Lynch suspension laryngoscope, or laryngeal forceps. NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
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