A study on non-malignant lesion of larynx

Abstract

<p class="abstract"><strong>Background:</strong> Benign laryngeal lesions are a spectrum of laryngeal diseases where symptoms vary from discomfort in throat, pain in throat, change of voice to stridor. Prompt diagnosis and intervention will reverse the conditions in certain laryngeal lesions.</p><p class="abstract"><strong>Methods:</strong> A prospective study was carried out in department of ENT, Madras Medical College/Institute of Child Health, Chennai between August 2013-November 2015 of non-malignant lesions of larynx. All these cases underwent a thorough ENT examination, examined under direct laryngoscope or micro laryngeal examination as the situation warrants. Benign non –neoplastic lesions are usually treated by excision biopsy and the biopsy results were confirmed. </p><p class="abstract"><strong>Results:</strong> This study included 50 cases of non-malignant lesions of larynx. In our study 34% of the cases fall in the age group of 20-30 years, followed by 22% in age group of 0-10 years. The mean age group was 26 years. Males were 72% and female constituted 28%. The hoarseness is the common symptom in 36 patients, while stridor was the predominant symptom in 14 patients. The treatment modality followed were micro laryngeal excision in 40 cases, tracheostomy in 6 cases.</p><p class="abstract"><strong>Conclusions:</strong> Management of the non-malignant lesions of larynx<strong>, </strong>by early diagnosis with effective conservative management in the initial stages, will reduce the necessity of the surgery. Counselling, voice rehabilitation, micro laryngeal surgery is the best modality.</p>

The Incidence and Treatment of Laryngeal Tumors in Patients Attending Al-Thawra Teaching Hospital, Our Experience

“…Regarding the treatment of laryngeal tumors, non-neoplastic and benign neoplasm all treated by surgical excision through direct laryngoscopy under general anesthesia except 1.5% of patients' complaints of combined Laryngocele treated by external approach. This agrees with previous studies [17,18]. Malignant tumors were treated by combined treatment, surgical and radiation or radiochemotherapy in the form of surgical excision followed by radiation for early cancer larynx ( T1, T2) 30% of malignant, and total laryngectomy and radiotherapy for advanced cancer larynx ( T3, T4) 27.7% of patients and 32.3% of patients who refused surgical intervention referred to radiochemotherapy.…”

“…The goal of cancer treatment is to cure the patient and preserve the function of the larynx. The treatment philosophy of patients with cancer larynx is the preservation of the form and function of the larynx whenever possible reserving ablative option for advanced cancer or when organ preservation is impossible [18,19]. Post-operative management for benign lesions includes voice rest, for three weeks followed by the resumption of voice in order to resume the normal function of the vocal cords.…”