Clinicopathological Study of Benign Lesions of Larynx

Abstract

BACKGROUND Benign laryngeal lesions are a spectrum of laryngeal diseases where symptoms vary from discomfort in throat, pain in throat, change of voice to stridor. Prompt diagnosis, intervention and speech therapy will reverse the conditions in certain laryngeal lesions. Aims and Objectives-A clinical study was undertaken to analyse the age, sex distribution and symptomatology, sites of involvement and the prognosis of the common types of benign lesions of larynx. MATERIALS AND METHODS A total of 40 patients with benign laryngeal lesions were included based on symptomatology such as hoarseness of voice, foreign body sensation, throat pain, neck mass and cough with positive clinical findings on indirect laryngoscopy and neck examination. The patients ranged from 5-65 years. All non-operative cases and malignant cases were excluded. Diagnostic haematological and radiological investigations and therapeutic microlaryngoscopic procedures were employed. Study Design-A two years descriptive type of study from November 2013 to November 2015. Setting-A tertiary referral hospital. RESULTS A male preponderance with M: F ratio of 3: 2 was observed. Majority of the patients were in the 31-40 years' age group. Vocal polyps were the commonest type of lesion. In our study, hoarseness of voice, cough, foreign body sensation and throat pain proved to be the commonest symptoms. CONCLUSION Microlaryngeal surgery and voice rest offer a cost effective, useful and safe method.

A follow-up study of surgically managed benign vocal cord lesions using vocal handicap index – 10 score

“…These factors may contribute to the development of new benign growth on the vocal cords, such as vocal nodules and polyps, by causing, predisposing, precipitating, or aggravating the condition. [ 19 ] The aetiology of these common benign lesions shows that most of these problems can be avoided if proper attention is paid to the correction of basic etiological factors rather than just treating the symptoms. In light of these facts, the factors implicated in the aetiology of these benign lesions have been investigated and explored in this work, in addition to the clinical and pathological characteristics of benign lesions of the vocal cords in general.…”

Сlinical characteristics of precanceral lesions of larynx

“…Кроме того, в 70% случаев больные обращаются за медицинской помощью с распространенными III-IV стадиями заболевания (опухоли), что соответственно, влияет на качество лечения таких пациентов и их выживаемость [3]. Эти показатели остаются неудовлетворительными, как в России [1], так и за ее пределами [4].…”

“…Однако известно, что выживаемость больных на уровне 80-90% наблюдается при раке гортани I-II стадии [2,4,5]. Поэтому одним из направлений решения данной проблемы является усиление внимания к ранней диагностике рака гортани.…”