Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients

Abstract

Aim This study was undertaken to study the clinical profile of hoarseness and the role of conservative (nonsurgical) and surgical modes of intervention. Materials and methods A prospective cohort analysis was carried out in Department of ENT, Government Medical College, Srinagar, in 145 cases of change in voice for 2 years duration. All cases were analyzed for detailed history and pre- and postoperative fiber optic laryngeal examination. The cases were managed by conventional conservative methods or underwent phonosurgery in nonresolving cases. Results Total 145 cases with M:F ratio of 1.37:1 were analyzed. Patients’ age ranged from 5 to 80 years and majority of patients equally presented in 4th and 6th decade and about 75% had duration of hoarseness of more than 3 months. A voice demanding profession was present in 34% of cases. Vocal abuse was the commonest predisposing factor (about 40%) followed by larygopharyngeal reflux disease (26%). Functional voice disorders were found in 15.85% of cases while 62.06% of patients had a definite organic disorder. Conservative treatment (primary) was employed in 103 cases (71%), surgical treatment (primary) in 42 cases (29%) and surgical treatment after failure of conservative was given in 22 cases (15%). How to cite this article Khurshid RS, Khan MA, Ahmad R. Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients. Int J Phonosurg Laryngol 2012;2(1):23-29.

Hoarseness of voice and accompanying symptoms among patients at a tertiary hospital, Tanzania

“…[13] Many of the pathologic changes are associated with more than one of these underlying causes. [8,11,14,15] Vocal cord paralysis, which may be unilateral or bilateral, causes hoarseness. Unilateral vocal cord paralysis is mostly caused by injury to the recurrent laryngeal nerve during thyroid, neck, or cardiothoracic surgery, and with mediastinal or apical involvement from lung cancer (Pancoast tumour).…”

“…In addition to causing hoarseness as a result of direct trauma to and inflammation of the vocal cords, endotracheal intubation can also cause vocal cord paralysis. [15] Psychogenic voice disorders generally occur as a reaction to stress and other psychiatric disorders, including malingering. [13,14] Hoarseness may occur with several endocrine disorders, most notably hypothyroidism and acromegaly.…”

“…[14] The management of hoarseness requires identification and treatment of any underlying conditions, vocal hygiene, voice therapy, and specific treatment of vocal cord lesions including surgical intervention. [15] METHOD This was a prospective descriptive cross-sectional study carried out in the ORL Department in a tertiary hospital, in Tanzania. A total of 427 patients were recruited over a period of eight months.…”