title: Relationship between the morphologic alterations of vocal cords from adult autopsies and the cause of death.
abstract: OBJECTIVE
  The purpose of this study was to identify the possible alteration in the thickness of the epithelium basal membrane of the vocal cords and correlate it with the cause of death.
  
  
  METHODS
  Larynxes collected from adult autopsies during the period of 1993 to 2001 were utilized. We used the hematoxylin-eosin and periodic acid-Schiff staining methods for the morphological and morphometric analysis.
  
  
  RESULTS
  Sixty-six vocal cords were analysed; increased thickness was identified in 14 cases (21.2%), with equal proportions between the genders. Increased vocal-cord thickness was more frequent in patients of the white ethnicity (12 cases, 85.7%). Respiratory alterations were found in 10 (71.4%) of the cases with increased vocal-cord thickness. Of the patients that were maintained with mechanical ventilation before death, 7 (18.4%) had thickening of the basal membrane. Among the smokers, 9 (19.63%) had basal membrane thickening.
  
  
  CONCLUSIONS
  No statistically significant differences were found between the cases in which the cause of death was related to respiratory diseases as compared to non-respiratory diseases and the thickening of the basal membrane of the vocal cords. However, new studies are needed in order to verify the etiopathogenesis of this thickening.
authors.affiliation: General Pathology Division, Triângulo Mineiro Medical School--Uberaba/MG, Brazil.
authors.forename: Ana Karina Marques
authors.initials: AK
authors.lastname: Salge
authors.forename: Eumenia Costa da Cunha
authors.initials: EC
authors.lastname: Castro
authors.forename: Mara Lúcia Fonseca
authors.initials: ML
authors.lastname: Ferraz
authors.forename: Marlene Antônia
authors.initials: MA
authors.lastname: dos Reis
authors.forename: Vicente de Paula Antunes
authors.initials: Vde P
authors.lastname: Teixeira
mesh_terms: D000328:Adult; D001344:Autopsy; D001485:Basement Membrane / Q000473:pathology*; D002423:Cause of Death; D006801:Humans; D007440:Intubation / Q000009:adverse effects; D008875:Middle Aged; D012140:Respiratory Tract Diseases / Q000473:pathology*; D012907:Smoking / Q000473:pathology; D014827:Vocal Cords / Q000473:pathology*