Background: Vocal cord nodules are bilateral, benign, and callous like growths of the mid portion of the membranous vocal folds. They are of variable size and characterised histologically by thickening of epithelium with a variable degree of inflammation in the underlying superficial lamina propria1. They characteristically produced hoarseness, discomfort and an unstable voice when speaking or singing. AIMS: Comparison between post treatment (surgical and conservative treatment groups) voice quality of the two groups and post treatment status of nodules in both the groups. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, 4(23.5%) patients were regressing and 13(76.5%) patients had resolve. In group-B, 4(12.1%) patients were persisting and 29(87.9%) patients were regressing. Association of post Rx VCN vs. group was statistically significant (p<0.001). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.
INTRODUCTION The nose is the most prominent part of the face with substantial aesthetic and functional significance. It is one of the few organs of body invested with an aura of emotional and cultural importance. Anatomical location of the nose and it passage have been regarded as the direct avenue to the brain, man’s source of intelligence and spirituality. AIMS AND OBJECTIVES To study the incidence, clinical presentation and pathological profile of various types of sinonasal masses at Tata Main Hospital, Jamshedpur, Jharkhand. To detect the variation of clinical presentation of sinonasal masses in relation to Age, Sex, Risk factors and Occupation, clinical presentation and the histopathological diagnosis of sinonasal masses. Compare the results of this study with the results of the previous workers. MATERIAL & METHODS: This Prospective, observational study was done in the department of Otorhinolaryngology, Tata Main Hospital, Jamshedpur, Jharkhand. 90 patients presenting with the features of nasal obstruction, nasal discharge, headache, anosmia / hyposmia, epistaxis, facial deformity, ear & eye symptoms will be evaluated by taking history and thorough ENT and head and neck examination(including nasal endoscopy) and subjecting them for the procedure. RESULT Out of 90 patients, 59(65.56%) were males and 31(34.44%) were females. In our study, among non neoplastic masses 34 were male and 26 were female. For non-neoplastic lesions the average age of presentation was 36.2 years. Mean age of presentation was 37.21 years. CONCLUSION Emergence of newer surgical, medical and radiological intervention have open up a new chapter with these type of patients. . Awareness regarding the disease process and health education should be provided to people regarding smoking, maintenance of hygienic condition and utilization of health facilities.
Background: Vocal fold nodules (VFNs), are localized, benign, superficial growths on the medial surface of the true vocal folds (TVFs) that are commonly believed to result from phonotrauma. Nodules are bilateral with a classic location at the junction of the anterior and middle third of the vocal fold (ie, the midpoint of the membranous vocal fold). AIMS: Correlation between response of treatment (as evident by post-treatment and post follow up GRBAS score), in each group. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, the mean Pre Rx GRBAS (mean±s.d.) of the patients was 11.4118 ± 2.0018. In group-B, the mean Pre Rx GRBAS (mean±s.d.) of the patients was 11.1818 ± 2.5794.Distribution of mean Pre Rx GRBAS vs. group was not statistically significant (p=0.7499). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.
Background: Vocal cord nodules are bilateral, benign, and callous like growths of the mid portion of the membranous vocal folds. They are of variable size and characterised histologically by thickening of epithelium with a variable degree of inflammation in the underlying superficial lamina propria1. They characteristically produced hoarseness, discomfort and an unstable voice when speaking or singing. AIMS: Comparison between post treatment (surgical and conservative treatment groups) voice quality of the two groups and post treatment status of nodules in both the groups. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, 4(23.5%) patients were regressing and 13(76.5%) patients had resolve. In group-B, 4(12.1%) patients were persisting and 29(87.9%) patients were regressing. Association of post Rx VCN vs. group was statistically significant (p<0.001). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.
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