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Reinke's Edema

Chronic fluid accumulation on the vocal folds

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Reinke's Edema?

Reinke's edema is a chronic laryngeal pathology characterized by gelatinous fluid accumulation in Reinke's space, located just below the free edge of the vocal folds. Long-term smoking, voice abuse, and hypothyroidism are the main causes.

Edematous vocal folds disrupt vibration dynamics and lower voice frequency; therefore patients characteristically present with thick, masculine voice changes. It is more pronounced in women.

Treatment is primarily smoking cessation and voice therapy; in resistant cases, microlaryngoscopic fenestration and drainage of Reinke's space are performed.

Symptoms

Thick, masculine voice change
Hoarseness and chronic husky voice
Voice fatigue
Marked need for throat clearing in the morning
Exertional dyspnea in severe cases
Chronic cough

Risk Factors

Long-term smoking
Voice abuse (professional speakers)
Hypothyroidism
Laryngopharyngeal reflux
Chronic laryngitis
Alcohol use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If hoarseness lasts longer than 2 weeks
  • If voice has noticeably thickened
  • If shortness of breath has developed
  • If swallowing difficulty has been added
  • If additional symptoms develop in smokers

Treatment Methods

01
Smoking cessation (fundamental intervention)
02
Voice therapy
03
Reflux treatment (PPI, lifestyle)
04
Treatment of hypothyroidism
05
Microlaryngoscopic fenestration and mucosal decompression
06
Postoperative voice rest and rehabilitation

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.