Issue N# 5 - 2001
"Bamboo nodes" : a clinical study of 19 cases
Authors : B. Coulombeau, R. Perouse, G. Cornut, M. Bouchayer (Lyon)
Ref. : Rev Laryngol Otol Rhinol. 2001;122,5:299-302.
Article published in french
Downloadable PDF document french
This is an account of 19 cases undergoing surgery for submucosal deposits on the cords of a particular type, 8 of the 19 cases having an auto-immune disorder. The nineteen patients were operated and followed up between December 1986 and December 2001, the main symptom being dysphonia. Stroboscopy demonstrated a yellowish appearance, often transverse, of the middle third of the cord, giving the characteristic appearance of a bamboo node. Suspension microlayngoscopy was performed in all cases. Cordotomy was invariably required. Examination of the case notes of these patients has shown either a pre-existing auto-immune disorder or the development of suggestive pointers in 8 of these female patients. Histological examination necessarily demonstrates the common characteristics of these depostis, and may be able to show features which have predictive value in the absence of known auto-immune pathology.
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