3 ; 1 ; in Month : February (2021) Article No : jecor-v3-1009
Bruno Caetano Almeida, Julia Capelari Simas, Beatr
Objective: To identify the prevalence of the most frequent laryngeal changes in patients who underwent nasofibrolaryngoscopy, in an otorhinolaryngology outpatient clinic, from 2015 to 2019, outlining their clinical profile and identifying whether there is an association between the changes found and the clinical characteristics.
Methods: Cross-sectional observational study. The findings of the nasofibrolaryngoscopy exam, performed in the period from 2015 to 2019, of 407 randomly selected individuals were analysed.
Results: Among the 407 individuals analysed, 55% were female and 45% male. The age of the patients ranged from 5 to 91 years, with a median of 44.1 years of age. In relation to sex, in the female there was an n = 155 that presented alterations in the exam, while the male gender presented an n = 85. The most frequent findings in the total sample of the study, in decreasing order, were: edema and moderate hyperemia of region interarytenoid in 28%, cracks in vocal folds 14.7%, edema and mild hyperemia of the interarytenoid region in 7.4%, edema and severe hyperemia of the interarytenoid region in 2.8%, nodule in 2.5%, vocal sulcus and capillary ectasia in 1.5%, alterations in the epiglottis and paralysis of the vocal folds in 1%, alterations in the piriform sinuses and polyps in 0.5% and alterations in the vallecula and granuloma in 0.2%.
Conclusion: The patients with the most abnormal larynx on examination were female. The most frequent findings, in descending order, were; moderate laryngeal edema and hyperemia, vocal cords cracks, edema and mild hyperemia of the interarytenoid region and edema and marked hyperemia of the interarytenoid region.
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