This system characterizes the disease based disease severity.Yonekawa Classification:
Grade I – Lesions contact the anterior third of the vocal fold
Grade II – Lesions contact the anterior two-thirds of the vocal fold
Grade III – Lesions contact the entirety of the vocal foldIf further evaluation is needed, stroboscopy is used to examine mucosal waves of the vocal cords. Mucosal waves describe the waves produced by vibration of the vocal cords during speech. Stroboscopes produce flashes of light that are timed to the patients vocal frequency. Every time the light is flashed, it will create a still frame image of the vocal cords at that particular moment in time. These are combined to produce an image of the wave. In the case of Reinkes edema, structural changes to the vocal cords will result in abnormal wave patterns. Treatment
The first step in treating Reinkes edema is to eliminate or control those risk factors that are causing the disease. This includes the cessation of smoking, the control of gastric reflux using antacids and/or Proton Pump Inhibitors (PPIs), and the discontinuation of activities that cause vocal distress. Those experiencing a hoarseness of the voice may choose to undergo voice therapy to improve the voices quality and range. Most cases of Reinkes edema are caused by the long term usage of cigarettes. In this case, it is important to make lifestyle changes to stop smoking.
A mesenteric cyst (MeSH C04.182.473) is a cyst in the mesenterium, and is one of the rarest abdominal tumors, with approximately 822 cases reported since 1507. The incidence is between 1 per 100,000 to 1 per 250,000 hospital admissions.Tillauxs triad named after the French surgeon Paul Jules Tillaux can be seen in cases of mesenteric cyst. It consists of the following signs:
a fluctuating swelling near the umbilicus,
freely mobile in the direction perpendicular to the attachment of mesentry,
with a zone of resonance around the swelling.It is basically of two types :
1. Chylolymphatic most common type, thin wall, lined by flat endotheliun, clear chylous fluid present, separate blood vessels
2. Enterogenous-thick wall, lined by columnar, mucinous fluid present common blood supply


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