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Get your voice back

World-famous ENT surgeon Roberto Puxeddu treats the exudative lesions of Reinke's space (edema of Reinke, polyps, nodules and pseudocyst).

A properly performed surgery gets voice back to a person!

Use a chance get the consultation and treatment from leading ENT specialist of the Royal College of Surgeons of England (FRCS) Professor Roberto Puxeddu.
Treatment results
In total, 980 benign laryngeal lesions have been removed by Professor Roberto Puxeddu.
96%
96% - full voice recovery
100%
100% - proper voice formation
Our Doctors
ENT surgeon, Professor, Chairman, Division of Otorhinolaryngology, Department of Surgery, University of Cagliary (Italy).
More than 7,000 operations for head and neck diseases have been performed in clinics in Italy and England since 1991.

Areas of specialization: neck surgeries, larynx surgery, sinonasal surgeries, intraoral, nasal pharynx and oral pharynx surgeries.
Natalia Chuchueva
Assistant of Roberto Puxeddu
MD, Assistant of the Department of Otorhinolaryngology Sechenov First Moscow State Medical University, ENT doctor in Medical Rehabilitation Center "Barviha" Administration of the President of the Russian Federation. She interned in the clinic of Roberto Puxeddu during the whole year.
None of the diseases in Reinke’s space affects vocal ligament, the safety of which is a key element of normal voice formation. Properly performed surgery can render the voice to the man.

High-risk group

High-risk group includes smoking people living in conditions of air pollution, people who use their voice intensively. What is more, impaired nasal airflow can be the risk factor, as the dry air can get inside the larynx.

In addition, it was stated that the hyperthyroid affects the overload of the vocal apparatus. Anatomical anomalies, such as the sulcus of the vocal folds, small cicatricial webs in the anterior commissure and GERD do their parts. Combinations of all these factors lead to various macroscopic and microscopic manifestations: polyps, nodules, Reinke’s edema or pseudocysts.

For example, Reinke’s edema develops from cigarette smoking. Voice nodules are typically associated with voice overuse or misuse, so they are called singing. A combination of voice overuse and the presence of factors that reduce the resistance of the body, such as infections, allergies, endocrine diseases lead to polyps or pseudocysts formation. The dominant factor for the angiomatous polyp formation is the recent phonotrauma.

Symptoms

Hoarseness is the symptom that almost all voice disorders have in common.

Diagnostics and Treatment

Diagnostics

A thorough otorhinolaryngologist’s examination is fundamental for the correct diagnosis and the choice of therapeutic approach. Endoscopy is the key standard for the examination. However, for differential diagnosis of the larynx diseases, stroboscopic examination is necessary as well.

Treatment

During the surgical excision of diseases of Reinke’s space, the vocal cord should not be damaged. Only this way allows to achieve the expected result. What is more, the precise use of CO2 laser allows to be a step ahead.
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Left vocal fold polyp

Polyp of the left vocal cord before surgery
Polyp of the left vocal cords after surgery
Before surgery
Straight after the surgery

Angiomatous polyp of the right vocal fold

Angiomatous polyp of the right vocal fold before surgery
Angiomatous polyp of the right vocal fold after surgery
Before surgery
Straight after the surgery

Reinke's edema

Swelling Reinke. Type of larynx immediately after surgery
Swelling Reinke. Full voice recovery.
Larynx straight after surgery
Full voice recovery

To sum up

Exudative lesions of Reinke’s space are polyps, nodules, Reinke’s edema and pseudocysts. The important characteristic which unites them all is their formation in the surperficial layer of the vocal fold, without the involvement of the vocal ligament itself. This fact explains the possibility and at the same time necessitates a conservative surgery, without reducing its effectiveness. Phonosurgical principles should be followed to achieve voice improvement or restoration. The surgery is performed under general anesthesia transorally, using a microscope and a CO2 laser.
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