Update on Management of Hoarseness

An Unexplained Lost Voice

“…Most dysphonia is self-limited and related to upper respiratory tract infection, especially in the absence of red flags and physical findings. 4,5 Persistent dysphonia warrants a more extensive evaluation, with the key consideration to rule out head and neck cancers. 4,5 Common tumors associated with such presentation include skull base tumors, mediastinal lymphadenopathy, as well as lung, thyroid, laryngeal, and esophageal cancers.…”

“…4,5 Persistent dysphonia warrants a more extensive evaluation, with the key consideration to rule out head and neck cancers. 4,5 Common tumors associated with such presentation include skull base tumors, mediastinal lymphadenopathy, as well as lung, thyroid, laryngeal, and esophageal cancers. If repeat nasoendoscopic findings were normal, laryngeal visualization would then be mandatory with videolaryngoscopy, stroboscopy, or direct laryngoscopy.…”

“…If repeat nasoendoscopic findings were normal, laryngeal visualization would then be mandatory with videolaryngoscopy, stroboscopy, or direct laryngoscopy. 4,5 A CT scan or magnetic resonance imaging of the path of the vagus/recurrent laryngeal nerve should be performed to evaluate unilateral vocal cord palsy of unknown cause. 4,5 In the present patient, no obvious primary site of head and neck cancer was identified to account for the substantial lymphadenopathy encasing the left common carotid artery.…”

The role of imaging in the evaluation of hoarseness: A review

“…Laryngoscopy can easily differentiate between them. 40 Fractures of other cartilages and other traumatic injuries to the larynx can also cause hoarseness.…”

“…However, the arytenoids and TVC are at different levels when seen on coronal images, and the cricoarytenoid joint is ill‐defined. Laryngoscopy can easily differentiate between them 40 . Fractures of other cartilages and other traumatic injuries to the larynx can also cause hoarseness.…”