An immunohistochemical Study of Estrogen and Progesterone Receptors in Laryngeal intubation Granuloma |
Kwang-Moon Kim, MD2, Young-Ho Kim, MD2, Mi Sook Chang, MD1, Jung Il Cho, MD2, Seung Mun Lee, MD1, and Myung Sang Kim, MD1 |
The Institute of Logopedics and Phoniatrics, Department fo Otorhinolaryngology Yonsei University College of Medicine, Seoul, Korea |
후두삽관육아종의 여성호르몬수용체에 곤한 면역조직화학적 연구 |
김광문2 · 김영호2 · 장미숙1 · 조정일2 · 이승문1 · 김명상1 |
연세대학교 의과대학 이비인후과학교실1;음성언어의학연구소2; |
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ABSTRACT |
With the development of techiques of anesthesia, the post-intubation laryngeal granuloma has been one of the sequelae of endotracheal intubation. Since the initial report of laryngeal intubation granuloma in 1932 by Clausen, a variety of etiologic factors have been described. The incidence has been more frequently reported in women than men, especially in women who has received Caesatean section, so it can be presumed cautiously that the female sex hormones possibly correlate with its pathogenesis. Unlike simple granulation tissues, laryngeal granulomas show histologic characteristics of capillary lobules separated by fibromyxoid stroma suggesting hemodynamic change, so sex hormonal correlation is further suspected. The autors studied the relationship of sex hormone to the pathogenesis of laryngeal intubation granuloma by immunohistochemical method using 14 cases of granuloma taken from surgery. We concluded that the female sex hormones play no roles in the pathogenesis of laryngeal intubation granuloma through our results in which the reaction pattern was non-specific regardless of the state of pregnancy or child-bearing age. However, more precise multi-factorial crosscorrelation between sex hormones and the pathogenesis of laryngeal intubation granuloma study will be neccessery with collection of cases.
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Keywords:
Intubation granulomaㆍEstrogen receptorㆍProgesterone receptor. |
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