Comparative study of benign vocal fold lesions in a tertiary health centre

Abstract

<p class="abstract"><strong>Background:</strong> The present study was carried out to analyze the factors associated with different vocal fold lesions and to diagnose various benign vocal fold lesions at an early stage by their demographic profile and clinical presentations.</p><p class="abstract"><strong>Methods:</strong> Patients with history of hoarseness of voice as a predominant symptom, cough, pain, foreign body sensation, dryness of throat and with a dominant history of vocal abuse, smoking or alcoholism were included in the study. Patients with acute infections, carcinomas, vocal cord palsy or other neurological diseases were excluded from the study.</p><p class="abstract"><strong>Results:</strong> The males comprised 66.7% of patients in the study and the commonest age group involved was 30-40 years. Vocal abuse was the leading risk factor in 80% patients. Hoarseness of voice was the predominant symptom in 83% patients followed by vocal fatigue. Bilateral vocal fold involvement was seen in 50% of the cases. All vocal nodule cases had bilateral vocal fold involvement. The vocal nodules were the commonest lesion seen (35%). Intra-operative and post-operative use of intravenous steroids was also found beneficial. Statistical analysis was done using Chi-square test. Significance level was assessed with P value <0.05. The bilateral involvement in all the vocal nodule cases was found significant.</p><strong>Conclusions:</strong> Voice therapy and cessation of smoking and alcohol can significantly reduce the incidence of these benign vocal fold lesions. It’s not only surgery that’s important in managing vocal fold lesions, but the post-operative care equally plays a vital role.

Micro laryngeal surgery for benign lesions of the larynx: our experience

“…Our study correlates with Saha et al, who also found the largest subset comprised of vocal nodules, seen in about 60% of patients and the second most common pathology is vocal fold polyp seen in 20% of patients [11]. Siddapur et al also found that vocal nodules are the most common benign vocal fold lesions but with a lower incidence rate of 35% observed in their study [12]. Mahesh et al reported an incidence of 28.57% and 24%, of vocal nodules and vocal polyps respectively [13].…”

A Clinicopathological Study of Benign Lesions of the Vocal Fold

“…Kotby et al [6] reported similar results. In studies by Kambic et al [7] and Chopra et al [8] the incidence varied from 68.3 to 16%. We observed that maximum incidence of benign lesions were in the age group of 41 -50 years which is considered important period of life.…”

A Clinical Study of Benign Glottic Lesions

“…Kotby et al [6] reported similar results. In studies by kambic et al [7] and Chopra et al [8] the incidence varied from 68.3 to 16%.…”