Functional voice disorders and their occurrence in 100 patients of hoarseness as seen on fibreoptic laryngoscopy

Batra, Kadambari; Motwani, Gul; Sagar, Prem

doi:10.1007/bf02974305

Cited by 21 publications

(12 citation statements)

References 7 publications

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“…Hoarseness of voice was found to be the most prominent and presenting feature of these lesions in this study followed by throat pain/irritation, cough, foreign body sensation in throat, difficulty in breathing and difficulty in swallowing. This is in concordance with study conducted by previous studies [10,11] . Surgical treatment was the treatment of choice in majority of the cases studied (82.7%) and voice rest and rehabilitation sufficed in the remaining 18.3% cases.…”

Section: Discussionsupporting

confidence: 94%

Clinical study of benign lesions of larynx

Reddy¹,

Pradhan²

2022

Int. J. Adv. Res. Med.

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Background: The significance of benign lesions of the larynx lies in the importance of its function in speaking and the contribution of the voice to one's identity. Inadequate voice is a social and professional disadvantage. Although rarely life threatening. Objectives: To study benign lesions of larynx. Methods: A total number of 64 patients were studied, A thorough history of all patients included in the study was taken with respect to the presenting symptoms and their duration. The treatment advised to the patients was either conservative medical therapy and/or surgical therapy (micro laryngeal surgery). All the patients underwent micro laryngeal surgery except those patients with vocal nodules. They were advised speech therapy for 3 months, if not resolved with speech therapy underwent micro laryngeal surgery. Results: There were varied causes for the development of benign lesions of larynx in which chronic vocal misuse was predominant cause in benign vocal fold lesions. It shares 75% of the incidence. Reasons for chronic vocal misuse is related to the occupation. The commonest site of origin of lesions was from true vocal cords. Next commonest were false cords, arytenoids and interarytenoid regions. In the study group, only 18.3% patients got complete relief with voice rest and vocal rehabilitation, 82.7% patients required surgery, which included microlarygoscopy and end laryngeal surgery. Conclusion:The benign laryngeal lesion produces symptoms which can vary from mild hoarseness to life-threatening stridor, creating a lot of mental and emotional tension in the patient and the family. Early diagnosis of the lesions can lead to effective management and good recovery.

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Section: Discussionsupporting

confidence: 94%

Clinical study of benign lesions of larynx

Reddy¹,

Pradhan²

2022

Int. J. Adv. Res. Med.

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“…2,4 Indian reports of smaller study groups (100-110 patients) showed lower incidence rates of hoarseness (less than 0.5 per cent) and a male predominance (51-89 per cent). [5][6][7][8][9] The majority of our patient population was male (70 per cent), and the incidence of hoarseness in our study was 12.4 per cent. While the high incidence is probably a result of having a specialised laryngology sub-specialty unit, it also highlights the scope for laryngology in this country.…”

Section: Epidemiological Differencesmentioning

confidence: 53%

“…Indian studies report a much lower rate of acute laryngitis (11-23 per cent vs around 40 per cent) and a much higher rate of malignant conditions (8-74 per cent vs around 2-3 per cent), [5][6][7][8][9] with percentages of vocal fold palsy (3-10 per cent) and chronic laryngitis (9-10 per cent), compared with international data. 2,4 Benign vocal fold lesions reported in Indian literature range from 8 to 60 per cent, 5-9 compared with 10-31 per cent in Western literature.…”

Section: Diagnostic Differencesmentioning

confidence: 80%

“…Indian data indicate a 1–5 per cent incidence of laryngeal TB. 5–7 Up to 14.5 per cent of head and neck TB cases have been reported to have laryngeal involvement. 11 While all 32 cases of laryngeal TB reported by Bhat et al .…”

Section: Discussionmentioning

confidence: 99%

“…Indian data indicate a 1-5 per cent incidence of laryngeal TB. [5][6][7] Up to 14.5 per cent of head and neck TB cases have been reported to have laryngeal involvement. 11 While all 32 cases of laryngeal TB reported by Bhat et al 12 had pulmonary involvement, only 20 per cent of laryngeal TB patients reported by Gandhi et al 13 showed systemic involvement.…”

Section: Diagnostic Differencesmentioning

confidence: 99%

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Hoarseness: its spectrum, associations and management in a tertiary care centre in India

et al. 2022

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Objective To determine the demographic, aetiopathological and diagnostic profiles of patients presenting with hoarseness to a laryngology unit of a tertiary care centre in India. Methods A retrospective observational study was conducted. Results The 1033 patients who presented with dysphonia showed a male predominance (70 per cent), high rates of malignancy (18 per cent), late presentation (mean, 24 months) and poor follow-up trends (53 per cent with 3 months’ follow up), which contrasts with data from developed countries. The patient population hailed from different states in India and neighbouring countries around India, serving as a good sample for the subcontinent. The majority (67 per cent) were managed conservatively; however, surgical management was the preferred choice for those who presented with airway stenosis (91 per cent) and laryngeal trauma (75 per cent). Significant associations between vocal professionalism level and co-morbidities and dysphonia aetiopathologies are discussed. Conclusion These findings give insight into the trends of hoarseness in the developing Indian subcontinent, which can aid understanding and management.

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Benign tumors of the larynx: a clinical study of 50 cases

Singhal

Bhandari

Chouhan

et al. 2009

Indian J Otolaryngol Head Neck Surg

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Objective The study was undertaken to identify the common type of lesions, and the age, sex distribution, symptomatology, sites of involvement and prognosis of the same.Study design A two-year prospective study was conducted from January 2005 to December 2006.Setting The study was conducted at SMS Medical College, Jaipur, Rajasthan, India-a tertiary referral hospital.Patients A total of 50 patients with benign laryngeal lesions were included in the study based on symptoms such as hoarseness of voice, foreign body sensation, throat pain, neck mass and cough and with positive clinical fi ndings on indirect laryngoscopy and neck examination. The patients were in the age group of 14-63 years. All nonoperative cases and malignant cases were excluded. Diagnostic hematological and radiological investigations and therapeutic microlarygoscopic procedures were employed.Results A male preponderance with a male:female ratio of 2.5:1 was observed. Majority of the patients were in the age group of 21-30 years. Vocal cord polyps were observed to be the commonest type of lesions. In our study, hoarseness of voice, cough, foreign body sensation and throat pain were found to be the commonest symptoms. Out of the 50 patients in the study group, only 6% patients got complete relief with voice rest and vocal rehabilitation; 94% patients required surgery, which included microlarygoscopy and endolaryngeal surgery. There was no recurrence in cases of vocal polyps and nodules during the period of observation.Conclusion Microlaryngeal surgery and voice rest offer a cost-effective, useful and safe method for the management of benign laryngeal lesions. With the inclusion of lasers, they can be more precisely operated. As such, the standard treatment of choice in all types of benign tumors of the larynx should consist of a triad of approach by microlaryngeal surgery (either microscopic or endoscopic, with or without use of lasers), voice rest and vocal rehabilitation.

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Functional voice disorders and their occurrence in 100 patients of hoarseness as seen on fibreoptic laryngoscopy

Cited by 21 publications

References 7 publications

Clinical study of benign lesions of larynx

Clinical study of benign lesions of larynx

Hoarseness: its spectrum, associations and management in a tertiary care centre in India

Benign tumors of the larynx: a clinical study of 50 cases

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