{"id":4775,"date":"2022-03-24T11:13:28","date_gmt":"2022-03-24T10:13:28","guid":{"rendered":"https:\/\/reseau-amylose.org\/jesuissoignant\/?page_id=4775"},"modified":"2026-08-14T16:04:46","modified_gmt":"2026-08-14T14:04:46","slug":"prise-en-charge-orl","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/prise-en-charge-orl\/","title":{"rendered":"ORL"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4775\" class=\"elementor elementor-4775\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-42d8360 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"42d8360\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-149f9ebe\" data-id=\"149f9ebe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de2c17a elementor-widget elementor-widget-heading\" data-id=\"de2c17a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Prendre en charge les atteintes ORL dans l'amylose cardiaque<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6379d54 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6379d54\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-efe4142\" data-id=\"efe4142\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e610e5 elementor-widget elementor-widget-text-editor\" data-id=\"6e610e5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Cette page traite de la <strong>prise en charge pratique<\/strong> des atteintes ORL de l&rsquo;amylose cardiaque, une fois le patient adress\u00e9 \u00e0 l&rsquo;ORL : appareillage auditif, r\u00e9\u00e9ducation orthophonique, prise en charge de la dysphonie AL. Pour le rep\u00e9rage des sympt\u00f4mes (surdit\u00e9, dysphagie, dysphonie, macroglossie) et le bilan initial (audiogramme, nasofibroscopie), consultez la page <\/em><\/p><p><a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-orl\/\"><em>Sympt\u00f4mes ORL<\/em><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-076ea3f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"076ea3f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-390baa0\" data-id=\"390baa0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3a6b3b5 elementor-widget elementor-widget-heading\" data-id=\"3a6b3b5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Points cl\u00e9s pour les professionnels de sant\u00e9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c92750 elementor-widget elementor-widget-text-editor\" data-id=\"6c92750\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Il n&rsquo;existe pas de traitement chirurgical de la surdit\u00e9 amylo\u00efde : l&rsquo;appareillage auditif pr\u00e9coce est la r\u00e9f\u00e9rence.<\/li><li>L&rsquo;acceptation de l&rsquo;appareillage par le patient n\u00e9cessite un accompagnement \u2014 expliquer le b\u00e9n\u00e9fice et le remboursement am\u00e9lior\u00e9 depuis 2019.<\/li><li>L&rsquo;orthophonie et l&rsquo;adaptation di\u00e9t\u00e9tique (textures, compl\u00e9ments) prennent en charge les troubles de d\u00e9glutition et la d\u00e9nutrition associ\u00e9e.<\/li><li>La dysphonie li\u00e9e \u00e0 une amylose AL localis\u00e9e des cordes vocales rel\u00e8ve essentiellement de la chirurgie, apr\u00e8s confirmation du caract\u00e8re localis\u00e9 en centre expert.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f7e01e1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f7e01e1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d84cbd1\" data-id=\"d84cbd1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d432e50 elementor-widget elementor-widget-heading\" data-id=\"d432e50\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rappel : quand adresser \u00e0 l'ORL ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da1eba4 elementor-widget elementor-widget-text-editor\" data-id=\"da1eba4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Si, au cours de l&rsquo;interrogatoire, le patient se plaint de perte d&rsquo;audition, de troubles de la d\u00e9glutition ou de modification de la voix, il convient de l&rsquo;adresser \u00e0 un ORL pour un bilan comprenant un audiogramme et une nasofibroscopie de d\u00e9glutition. Au besoin, l&rsquo;ORL oriente vers un phoniatre pour un bilan vocal plus complet. Le d\u00e9tail du bilan diagnostique (sp\u00e9cificit\u00e9s de l&rsquo;audiogramme amylo\u00efde par rapport \u00e0 la presbyacousie) est disponible sur la page <a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-orl\/\">Sympt\u00f4mes ORL<\/a>.<\/p><h6>\u00a0<\/h6>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7bb647e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7bb647e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-2248ccc\" data-id=\"2248ccc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f31d83c\" data-id=\"f31d83c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32bba11 elementor-widget elementor-widget-image\" data-id=\"32bba11\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"259\" height=\"177\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/3-types-damylosecardiaque-ORL.png\" class=\"attachment-large size-large wp-image-8885\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-9f791c0\" data-id=\"9f791c0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5332538 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5332538\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6bdcab2\" data-id=\"6bdcab2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bd55a2f elementor-widget elementor-widget-heading\" data-id=\"bd55a2f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La prise en charge auditive<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16973d8 elementor-widget elementor-widget-text-editor\" data-id=\"16973d8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les alt\u00e9rations de l&rsquo;audition \u00e9tant dues \u00e0 des d\u00e9p\u00f4ts diffus, il n&rsquo;existe pas de traitement chirurgical. La prise en charge repose donc sur l&rsquo;appareillage auditif.<\/p><p><strong>Pr\u00e9cocit\u00e9 de l&rsquo;appareillage : <\/strong>il a \u00e9t\u00e9 d\u00e9montr\u00e9 que plus l&rsquo;appareillage auditif \u00e9tait pr\u00e9coce, moins l&rsquo;audition se d\u00e9gradait rapidement. Il pourrait aussi \u00eatre protecteur, \u00e0 un certain degr\u00e9, contre les d\u00e9mences s\u00e9niles.<\/p><p><strong>Accompagner l&rsquo;acceptation du patient : <\/strong>l&rsquo;appareillage est souvent mal v\u00e9cu, voire refus\u00e9 par le patient, per\u00e7u comme une contrainte et co\u00fbteux. Il convient d&rsquo;expliquer l&rsquo;importance de pallier ce d\u00e9ficit et le confort qui en r\u00e9sultera apr\u00e8s une phase d&rsquo;adaptation. Depuis 2019, le remboursement des appareils auditifs a \u00e9t\u00e9 am\u00e9lior\u00e9, ce qui facilite l&rsquo;acc\u00e8s \u00e0 cette prise en charge.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-857a367 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"857a367\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-706caae\" data-id=\"706caae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7771c4a elementor-widget elementor-widget-heading\" data-id=\"7771c4a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La prise en charge de la d\u00e9glutition et de la voix<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d3a8d3 elementor-widget elementor-widget-text-editor\" data-id=\"5d3a8d3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>R\u00e9\u00e9ducation orthophonique : <\/strong>pour les troubles de la d\u00e9glutition et de la voix, l&rsquo;ORL peut orienter le patient vers une r\u00e9\u00e9ducation orthophonique.<\/p><p><strong>Adaptation nutritionnelle : <\/strong>des compl\u00e9ments alimentaires et une adaptation des textures doivent \u00eatre prescrits en cas de perte de poids et de d\u00e9nutrition, en lien avec une consultation di\u00e9t\u00e9tique.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-03be04b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"03be04b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-afbaff1\" data-id=\"afbaff1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cb630d3 elementor-widget elementor-widget-heading\" data-id=\"cb630d3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La prise en charge de la dysphonie AL localis\u00e9e<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf6a3ce elementor-widget elementor-widget-text-editor\" data-id=\"cf6a3ce\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La dysphonie en rapport avec une amylose AL localis\u00e9e des cordes vocales repose essentiellement sur la chirurgie (le traitement par radioth\u00e9rapie est exceptionnel). Il faut au pr\u00e9alable s&rsquo;assurer qu&rsquo;il s&rsquo;agit bien d&rsquo;une forme localis\u00e9e. Un avis aupr\u00e8s d&rsquo;un centre expert est indispensable avant toute d\u00e9cision th\u00e9rapeutique.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dbe17cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dbe17cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9678f0a\" data-id=\"9678f0a\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-262ae41 elementor-widget elementor-widget-heading\" data-id=\"262ae41\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ \u2014 Questions fr\u00e9quentes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7bbf84 elementor-widget elementor-widget-toggle\" data-id=\"a7bbf84\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1751\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1751\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Pourquoi n'existe-t-il pas de traitement chirurgical de la surdit\u00e9 amylo\u00efde ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1751\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1751\"><p>Parce que les alt\u00e9rations auditives sont dues \u00e0 des d\u00e9p\u00f4ts amylo\u00efdes diffus dans l&rsquo;oreille, et non \u00e0 une l\u00e9sion localis\u00e9e accessible \u00e0 la chirurgie. La prise en charge repose donc sur l&rsquo;appareillage auditif.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1752\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1752\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Comment accompagner un patient qui refuse son appareillage auditif ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1752\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1752\"><p>En expliquant que l&rsquo;appareillage pr\u00e9coce ralentit la d\u00e9gradation de l&rsquo;audition et pourrait avoir un effet protecteur contre les d\u00e9mences s\u00e9niles, et en rappelant que le remboursement des appareils auditifs a \u00e9t\u00e9 am\u00e9lior\u00e9 depuis 2019.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1753\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1753\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Que faire en cas de dysphagie ou de d\u00e9nutrition associ\u00e9e \u00e0 une amylose ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1753\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1753\"><p>Orienter vers une r\u00e9\u00e9ducation orthophonique pour les troubles de d\u00e9glutition, et prescrire des compl\u00e9ments alimentaires avec adaptation des textures en lien avec une consultation di\u00e9t\u00e9tique en cas de perte de poids.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1754\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1754\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quand op\u00e9rer une dysphonie li\u00e9e \u00e0 l'amylose ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1754\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1754\"><p>En cas d&rsquo;amylose AL localis\u00e9e des cordes vocales, confirm\u00e9e comme telle. La chirurgie est le traitement de r\u00e9f\u00e9rence ; la radioth\u00e9rapie reste exceptionnelle. Un avis en centre expert est indispensable au pr\u00e9alable.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e3631eb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e3631eb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-da1f6a2\" data-id=\"da1f6a2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c160c93 elementor-widget elementor-widget-text-editor\" data-id=\"c160c93\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La prise en charge des atteintes ORL de l&rsquo;amylose cardiaque, une fois le patient adress\u00e9 \u00e0 l&rsquo;ORL, repose sur trois axes. Pour la surdit\u00e9, en l&rsquo;absence de traitement chirurgical possible (d\u00e9p\u00f4ts diffus), l&rsquo;appareillage auditif pr\u00e9coce est la r\u00e9f\u00e9rence, avec un accompagnement n\u00e9cessaire face aux r\u00e9ticences du patient. Pour les troubles de la d\u00e9glutition et de la voix, la r\u00e9\u00e9ducation orthophonique et l&rsquo;adaptation nutritionnelle (textures, compl\u00e9ments) prennent en charge la d\u00e9nutrition associ\u00e9e. Pour la dysphonie li\u00e9e \u00e0 une amylose AL localis\u00e9e des cordes vocales, la chirurgie est le traitement de r\u00e9f\u00e9rence, apr\u00e8s confirmation du caract\u00e8re localis\u00e9 en centre expert. Cette page se concentre sur la prise en charge pratique ; le d\u00e9pistage et le bilan diagnostique initial sont d\u00e9taill\u00e9s sur la page Sympt\u00f4mes ORL du R\u00e9seau Amylose.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Prendre en charge les atteintes ORL dans l&rsquo;amylose cardiaque Cette page traite de la prise en charge pratique des atteintes ORL de l&rsquo;amylose cardiaque, une fois le patient adress\u00e9 \u00e0 l&rsquo;ORL : appareillage auditif, r\u00e9\u00e9ducation orthophonique, prise en charge de la dysphonie AL. Pour le rep\u00e9rage des sympt\u00f4mes (surdit\u00e9, dysphagie, dysphonie, macroglossie) et le bilan [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-4775","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Prise en charge ORL et amylose - R\u00e9seau Amylose<\/title>\n<meta name=\"description\" content=\"Appareillage auditif, orthophonie, dysphonie AL : la prise en charge pratique des atteintes ORL une fois le patient adress\u00e9 \u00e0 l&#039;ORL.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/prise-en-charge-orl\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prise en charge ORL et amylose - R\u00e9seau Amylose\" \/>\n<meta property=\"og:description\" content=\"Appareillage auditif, orthophonie, dysphonie AL : la prise en charge pratique des atteintes ORL une fois le patient adress\u00e9 \u00e0 l&#039;ORL.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/reseau-amylose.org\/jesuissoignant\/prise-en-charge-orl\/\" \/>\n<meta property=\"og:site_name\" content=\"R\u00e9seau Amylose\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T14:04:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/3-types-damylosecardiaque-ORL.png\" \/>\n\t<meta property=\"og:image:width\" content=\"259\" \/>\n\t<meta property=\"og:image:height\" content=\"177\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/reseau-amylose.org\/jesuissoignant\/prise-en-charge-orl\/\",\"url\":\"https:\/\/reseau-amylose.org\/jesuissoignant\/prise-en-charge-orl\/\",\"name\":\"Prise en charge ORL et amylose - 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