{"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":"2022-03-24T11:33:24","modified_gmt":"2022-03-24T10:33:24","slug":"orl","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/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-23393e09 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"23393e09\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3bd704a9 elementor-widget elementor-widget-heading\" data-id=\"3bd704a9\" 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<h6 class=\"elementor-heading-title elementor-size-default\"><h2 class=\"elementor-heading-title elementor-size-large elementor-inline-editing pen\" data-elementor-setting-key=\"title\" data-pen-placeholder=\"\u00c9crivez ici...\">Prendre en charge les atteintes ORL dans l'amylose cardiaque<\/h2><\/h6>\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-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<h5><span style=\"color: #4db8f0\"><strong>Adresser \u00e0 L\u2019ORL\u00a0<\/strong><\/span><\/h5><h6><span style=\"color: #000000\">Si au cours de votre interrogatoire votre patient se plaint de perte d\u2019audition, de troubles de la d\u00e9glutition et de modification de la voix, il convient de l\u2019adresser \u00e0 un <strong>ORL<\/strong> afin de r\u00e9aliser un bilan.<\/span><\/h6><h6><span style=\"color: #000000\">Celui-ci comprendra un <strong>audiogramme<\/strong> \u00e0 la recherche d\u2019une perte d\u2019audition et une <strong>nasofibroscopie<\/strong> de d\u00e9glutition afin d\u2019\u00e9liminer une autre cause organique. Au besoin l\u2019ORL orientera vers un phoniatre pour r\u00e9aliser un bilan vocal plus complet.<\/span><\/h6><h6><span style=\"color: #000000\">L\u2019audiogramme des patients avec amylose diff\u00e8re de la presbyacousie. Ce n\u2019est donc pas la surdit\u00e9 classique du sujet \u00e2g\u00e9. La <strong>perte auditive est plus profonde et surtout affectant toutes les fr\u00e9quences et pas seulement les fr\u00e9quences aigu\u00ebs comme dans la presbyacousie.<\/strong> Un ph\u00e9nom\u00e8ne de recrutement important est \u00e9galement retrouv\u00e9 en faveur d\u2019une surdit\u00e9 d\u2019origine endocochl\u00e9aire. Les autres hypoth\u00e8ses seraient une atteinte r\u00e9trocochl\u00e9aire et centrale par neuropathie auditive amylo\u00efde li\u00e9s \u00e0 des d\u00e9p\u00f4ts endo\/p\u00e9rineuraux mais aussi vasculopathie.<\/span><\/h6><h6><span style=\"color: #000000\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-3190 size-large\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/storage\/sites\/5\/2021\/03\/Capture-de\u0301cran-2021-03-11-a\u0300-16.19.21-1024x617.png\" alt=\"\" width=\"1024\" height=\"617\" srcset=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/03\/Capture-de\u0301cran-2021-03-11-a\u0300-16.19.21-1024x617.png 1024w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/03\/Capture-de\u0301cran-2021-03-11-a\u0300-16.19.21-300x181.png 300w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/03\/Capture-de\u0301cran-2021-03-11-a\u0300-16.19.21-768x462.png 768w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2021\/03\/Capture-de\u0301cran-2021-03-11-a\u0300-16.19.21.png 1528w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/span><\/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-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-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<h5><span style=\"color: #4db8f0\"><strong>La prise en charge ORL\u00a0<\/strong><\/span><\/h5>\n<h6><span style=\"color: #000000\">Les alt\u00e9rations de l\u2019audition \u00e9tant dues \u00e0 des d\u00e9p\u00f4ts diffus, il n\u2019existe pas de traitement chirurgical. Le traitement repose donc sur <strong>l\u2019appareillage auditif<\/strong>. Il a \u00e9t\u00e9 prouv\u00e9 que plus l\u2019appareillage auditif \u00e9tait pr\u00e9coce, moins l\u2019audition se d\u00e9gradait rapidement. L\u2019appareillage auditif pourrait aussi \u00eatre protecteur, \u00e0 un certain degr\u00e9, contre les d\u00e9mences s\u00e9niles.\u00a0 L\u2019appareillage est souvent mal v\u00e9cu voire refus\u00e9 par le patient, car vu comme une contrainte et cher. Il convient de lui expliquer l\u2019importance de pallier ce d\u00e9ficit et le confort qui en r\u00e9sultera apr\u00e8s une phase d\u2019adaptation (depuis 2019, meilleur remboursement des appareils auditifs).<\/span><\/h6>\n<h6><span style=\"color: #000000\">Concernant les troubles de la d\u00e9glutition et de la voix, l\u2019ORL pourra orienter le patient pour une <strong>r\u00e9\u00e9ducation orthophonique<\/strong>. Des compl\u00e9ments alimentaires et une adaptation des textures doivent \u00eatre prescrits en cas de perte de poids et d\u00e9nutrition (consultation di\u00e9t\u00e9tique).<\/span><\/h6>\n<h6><span style=\"color: #000000\">La dysphonie en rapport avec une amylose AL localis\u00e9e des cordes vocales repose essentiellement sur la chirurgie (traitement par radioth\u00e9rapie exceptionnel). Il faut bien-s\u00fbr \u00eatre sur qu\u2019il s\u2019agit d\u2019une forme localis\u00e9e. Un avis aupr\u00e8s d\u2019un centre expert est indispensable.<\/span><\/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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Prendre en charge les atteintes ORL dans l&rsquo;amylose cardiaque Adresser \u00e0 L\u2019ORL\u00a0 Si au cours de votre interrogatoire votre patient se plaint de perte d\u2019audition, de troubles de la d\u00e9glutition et de modification de la voix, il convient de l\u2019adresser \u00e0 un ORL afin de r\u00e9aliser un bilan. Celui-ci comprendra un audiogramme \u00e0 la recherche [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"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>ORL - R\u00e9seau Amylose<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/reseau-amylose.org\/jesuissoignant\/orl\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ORL - R\u00e9seau Amylose\" \/>\n<meta property=\"og:description\" content=\"Prendre en charge les atteintes ORL dans l&rsquo;amylose cardiaque Adresser \u00e0 L\u2019ORL\u00a0 Si au cours de votre interrogatoire votre patient se plaint de perte d\u2019audition, de troubles de la d\u00e9glutition et de modification de la voix, il convient de l\u2019adresser \u00e0 un ORL afin de r\u00e9aliser un bilan. 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