Clinico-pathological study of patients of hoarseness of voice in adult of north India region
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 10, Issue 3
Abstract
Background: Voice disorders typically present with hoarseness and hoarseness is one of the commonest symptoms in otolaryngology outpatient clinic and is invariably the earliest manifestation of condition directly or indirectly affecting the voice apparatus. It should be emphasized that hoarseness is not a disease in itself but a symptom of disease or disturbance of larynx or laryngeal innervations. The aim of the study was to analyse various causes and conditions associated with hoarseness of voice. Material and Method: We studied 200 patients with an age range of between 11 to 90 years. All the routine investigations like Hb, BT, CT, TLC, DLC, urine-for albumin and sugar were carried out in all patients. X-ray chest- PA view and X-Ray soft tissue neck- AP and lateral view were done when required. Larynx was examined by flexible fibreoptic laryngoscopy followed by biopsy if suspicious looking area was seen. Results: The majority of patients were male and M: F ratio was 4.26:1 and had a peak age distribution of 31 to 60 years (69%). In this study, level of voice disorders formulated by Koufman was adopted. The commonest occupation was being farmers (18.5%) manual labours (16%), traders (15%), teachers (14.5%) and housewife (11.5%) and majority of patients were level (IV) voice users (32.15%). The commonest etiology of hoarseness of voice was found to be due to inflammation (31%) or infection of upper respiratory system (22.5%) followed by vocal cord nodule (12%), Vocal cord polyp (9%), functional voice disorders (5%), and vocal cord paralysis (5.5%) vocal cord cancer (5.5%) and congenital disorders (3.5%). Conclusion: The most common symptom associated with hoarseness in patient was cough reported in (42) of patients, throat pain (in 38 patients) .and painful swelling in 30 patients and other clinical features were also reported during OPD visit like epigastric pain (9.5%), retrostrnal pain (8.5%), hemoptysis (5.5%), stridor (1.5%), aphonia (1%), aspiration (1%).Proper medical history, complete investigation and management are therefore required to treat the underlying pathology.
Authors and Affiliations
Madhukar Vashistha, Neetu Shukla, Abha Mishra, Sanjeev Kumar, Mamta Dwivedi
Keywords
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- EP ID EP615003
- DOI 10.26611/10161033
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