Verkhovsky-Tiyo Symptom

Verkhovsky-Tiyo Symptom: Understanding and Clinical Application

Verkhovsky-Tillot Symptom, also known as the Verkhovsky-Tillot symptom, got its name in honor of the outstanding medical scientists - B.V. Verkhovsky and P.J. Tillaux. This symptom is an important tool for the diagnosis and treatment of certain diseases in the field of otorhinolaryngology.

Boris Vladimirovich Verkhovsky (1863-1939) was a Soviet otolaryngologist who made significant contributions to the study and treatment of diseases of the upper respiratory tract. Paul Jules Tillot (1834-1904), a French anatomist and surgeon, also made significant contributions to the development of otorhinolaryngology.

Verkhovsky-Tiyo Symptom is used to diagnose certain diseases of the mouth and throat. It is based on observing changes in the position and shape of certain structures during tongue movement and swallowing. This symptom can be useful in detecting pathological changes such as tumors, inflammation or deformity.

One example where the Verkhovsky-Tillot sign can be useful is in the diagnosis of laryngeal cancer. With this disease, there may be a lateral displacement of the larynx during swallowing. The Verkhovsky-Tiyo symptom allows the doctor to detect this displacement and suspect the presence of a tumor.

In addition, the Verkhovsky-Tillot sign can be useful in diagnosing other conditions, such as stridor (difficulty breathing) or congenital abnormalities of the mouth and throat. Observing changes during tongue movement and swallowing can help the doctor determine the presence of pathological conditions and choose appropriate treatment.

It is important to note that diagnosis and interpretation of the Verkhovsky-Tillot sign require experience and professionalism in the field of otorhinolaryngology. Only a qualified doctor can correctly assess the symptoms and take the necessary measures for further examination and treatment.

In conclusion, the Verkhovsky-Tillot Symptom is an important tool for the diagnosis and treatment of diseases of the mouth and throat. It is based on observing changes in the position and shape of structures during tongue movement and swallowing. This symptom allows the doctor to detect pathological changes and take appropriate measures to treat the patient. However, to correctly interpret the Verkhovsky-Tillot symptom, it is necessary to have experience and professional skills in the field of otorhinolaryngology. Therefore, if you experience any symptoms or suspicions of diseases of the mouth and throat, it is important to consult a qualified doctor for diagnosis and treatment.

Highly sensitive direct laryngoscopic palpation is still of concern to only a few otolaryngologists and is not a routine research method. The use of this method allows you to accurately diagnose one of the acute inflammatory diseases of the larynx - laryngeal edema, make a correct clinical diagnosis, and in emergency conditions, begin treatment during an examination in the acute phase of the process.

Some otolaryngologists are familiar with the use of this method, but still use it infrequently. A conscientious approach to the study of the upper respiratory tract includes the mandatory implementation of this manipulation. In some cases, it is not necessary to use a laryngoscope to detect inflammation of the larynx. Diagnosis of this condition is not the prerogative of only an otoscopic examination of the vocal folds. At the same time, for its successful implementation, the clinician needs to know all the details. It is necessary to understand the structure of the larynx and all its bends for the given physical condition of the patient.

It will probably be enough for a sophisticated doctor to convince colleagues to use direct examination of the laryngeal cartilages to confirm the presence of inflammation. Most likely, he will do this repeatedly, even if he becomes involved in a business related to the provision of professional services. Clinical experience shows that it is difficult to find an alternative to this method. But why should you abandon it or use it, setting a goal, to get results?

Awareness of this methodological principle confirms the importance of direct laryngoscopy, which is used to monitor the progress of treatment until complete recovery occurs. When studying typical diseases of the larynx, the method makes it possible not only to make a correct diagnosis. With its help, you can put an end to the issue of the need to puncture cysts, preserve the isthmus, implantation of auditory ossicles, or perform a tracheotomy. Direct examination of the laryngeal membranes will clarify the diagnosis when there is doubt about it. Some situations allow the otolaryngologist to use the reverse (“equine”) side. Let's consider other cases that require the use of a direct method of examining the larynx.

The most common case is the diagnosis of acute chronic inflammatory processes of the hypopharynx and larynx at an early stage. The method confirms or refutes the development of hyperemia, infiltration visible under a magnifying glass, inflammatory overlay, petechial hemorrhages, polypous structures, proliferations or neoplasms with a flat or lumpy surface, “granularity,” proliferation of lymphoid tissue such as granules. It will help to study the severity of the pathological process, its prevalence and localization. Additional diagnostic value of direct oculoscopic examination is the possible detection of hemorrhages of the laryngeal mucosa of various shapes and locations or the spread of a purulent process around and between the sites of hemorrhage. When examining this form of chronic inflammation of the laryngeal cavity, a significant expansion of the subglottic region can be detected. Cicatricial adhesions can be noted in the interisthmus spaces. With chronic granulomatous inflammation, the walls of the larynx practically do not dissolve. But hyperplasia of lymphoid elements (true or false bulla) shrinks and can even completely resolve, grow, and retract into a subangular position.

Determination of origin