• Proceedings of the KSLP Conference
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• 1998.11a
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• pp.186-186
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• 1998

성대주름을 덮고 있는 점막과 안쪽의 성대근육, 성대인대 사이의 잠재적 공간을 라인케격간이라고 부르고, 이 부위의 광범위한 부종으로 인해 진성대가 마치 물주머니처럼 보이는 폴립양비대를 라인케 부종이라고 한다. 라인케 부종은 특징적으로 홉연과 밀접한 관련이 있으며 때로는 성대남용이나 위-식도역류와도 관련이 있다고 알려져 있으나 그 병리기전은 아직 정확히 알려져 있지 않다. (중략)

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.28 no.2
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• pp.96-99
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• 2017

Background and Objectives : The management of Reinke's edema includes usually medical treatment and voice therapy. Laryngomicrosurgery (LMS) is also necessary, especially to improve airway obstruction. However, voice outcome after LMS has not been determined well. The aim of this study was to evaluate effectiveness of LMS for Reinke's edema and analyze the voice outcomes after LMS. Materials and Methods : Twenty-five patients with Reinke's edema who underwent LMS from September 2007 to December 2016 were enrolled in this study. We analyzed reflux finding score (RFS), reflux symptom index (RSI), and acoustic parameters before and after surgery. Results : Male was 15 (60%) and female was 10 (40%), and mean age was 49.6 years. Preoperative mean value of RFS decreased significantly up to 3 months after LMS ($18.3{\pm}2.2$ and $10.0{\pm}2.2$ at preoperative and 3 months postoperatively, respectively). The mean value of Jitter decreased significantly before and after surgery ($2.71{\pm}2.81%$ and $1.06{\pm}1.21%$ before and after LMS, p=0.041). The mean value of Shimmer also decreased significantly before and after surgery ($7.97{\pm}3.63%$ and $4.83{\pm}1.85%$, respectively, p=0.006). Conclusion : LMS is effective in the treatment of Reinke's edema. It results in favorable acoustic outcomes and laryngoscopic findings in properly selected patients.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.7 no.1
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• pp.11-19
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• 1996

Reinke's edema is used for describing varying degrees of chronic swelling of the vocal folds. The acoustic analysis of Reinke's edema has not been reported so far in this country. The purpose of this study is to clarify acoustic and aerodynamic characteristics of the Reinke's edema. Several acoustic evaluations ＆ aerodynamic studies were done in 20 Reinke's edema patients and the data was compared with those of 20 normal controls. Videolaryngoscopy also was done to classify the severity in grading. We used C-Speech, Doctor speech science, and Phonatory function analyser. In C-Speech, we compared jitter, shimmer, and SNR(signal to noise ratio) of normal and Rrinke's edema patient. In Doctor speech science, we compared NNE(Glottal noise energy), speech fundamental frequency, voice quality between two groups. And in phonatory function analyser for aerodynamic function test, we compared speech intensity, airflow rate, and expiratory pressure between two groups. In conclusion, Reinke's edema patients showed lower voice pitches than normal, additionally jitter, shimmer, SNR(signal to noise ratio), NNE(Glottal noise energy), airflow rate, and expiratory pressure may be meaningful parameters for diagnosis and prognosis for treatment.