Title: Clinico-Aetiological Study of Hoarseness of Voice

Authors: Dr Prashant Nanwani, Dr R. Nigam, Dr A. K. Jain

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.117

Abstract

 

Objective: To study incidence, predisposing factors, causes, clinical presentation of hoarseness of voice. After taking detailed history of patient, complete examination of ear, nose and throat has been carried out. Indirect and direct laryngoscopy was done. 

Method: This study was carried out on 150 patients presented in the department of ENT from february2015 to August2016 with complaint of hoarseness of voice.

Result: Incidence was found to be 0.30%. Males were more affected (86%) than females (14%).Highest incidence was found in the age group of 51-60 years. Maximum patients (45.33%) were having hoarseness for the period since 1-12 weeks. Labourers (33.33%) were most commonly affected. Smoking (34%) was the most common predisposing factor and dysphagia (38.7%) was the most common associated symptom of hoarseness of voice. Chronic laryngitis (35.3%) was the most common cause.

Conclusion: Hoarseness for longer duration may be because of underlying malignancy so every patient with hoarseness should be investigated thoroughly through direct laryngoscopy. Our study is a Government Institution based study and patients are more from low socio-economic strata, which are more prone to chronic laryngeal infections and cancer larynx due to their poor nutrition, addiction habits and occupational exposure.

Keywords: Hoarseness, Vocal cords, Recurrent laryngeal nerve.

References

  1. Moore G.P. Observation of laryngeal diseases. laryngeal behavior & voice .Ann. Otol.1976 PP 553-564.
  2. Jackson Chevalior : otolaryngology vol 4 (coatesschenk & miller editors)1955 chapt.25 PP1-4.
  3. Dettelbach M, Eibling DE, Johnson JT. Hoarseness from viral laryngitis to glottic cancer. Postgrad Med 1994;95:143.
  4. Chagnon FP, Moulder D S. Laryngotracheal trauma. chestsurg dinnorth Am 1996; 6: 73 -78.
  5. Smit CE, Van Leeuwen JA, Mathus Vliegen LM, Devriese PP, Semen A, Tan J et al. Gastropharyngeal and gastroeso-phageal reflux in globus and hoarseness. Arch Otolaryngol Head Neck Surg 2000:126 (7): 827–30.
  6. Woodson GE, Blitzer A. Neurologic evaluation of the larynx and pharynx. In Cummings OW et al, Otolaryngology Head and Neck Surgery edition, St. Lous Mosby 1995: 61-17.
  7. Ramazan HH, Tarazi ARE &Baroudy FM. Laryngeal tuberculosis presentation of 16 cases and review of literature. J Otolaryngol 1993; 22: 39-41.
  8. Garrett CG, Ossoff RH. Hoarseness. Medical Clinics of North America 1999; 83(1):115-123.
  9. Sombhu Bhatia, R.M .Raizada, A.K .Kennedy Singh. Clinical profileof hoarseness of voice. Indian Journal Otolaryngology and Head & Neck Cancer January-March, 2005; Vol.57 No.1.
  10. Herrington-Hall BL, Lee L.Stemple JC, Niemi KR, MC Hone MM. Description of laryngeal pathologies by age,, sex, and occupation in a treatment-seeking sample.J Speech Hear Discord 1988;53:57-64.
  11. Parik N. Aetiology study of 100 case of hoarseness of Voice. Indian Journal of Otolaryngology and Head and Neck Surgery.91 June Vol. 43, No. 2, 71-3.
  12. Kadambari Batra, Gul Motwani, P C Sagar. Functional voice disorders and their occurrence in 100 patients of  hoarseness was seen on fibre optic laryngoscopy. Indian Journal of Otolaryngology and Head and Neck Surgery.Apr-Jun 2004;56(2):91-95.
  13. Behera S K, Mishra S K, Rafiya, K K ,Mishra, S K,Patsani M. clinicopath-ological study of hoarseness of voice. Odisa J Otorhinolryngology Head & Neck Surgery.2012;6(1):23-6.
  14. Banjara H,Mungutwar V,Singh D,Gupta A.Hoarseness of voice:A retrospective study of 251 cases.International J Phon-osurgery and Laryngology.2011;1(1):21-7.
  15. Behera SK,Mishra SK,Rafiya KK,Mishra SK, Patsani M.clinicopathological study of hoarseness of voice.Odisa J Otorhinolryngology Head & Neck Surgery.2012;6(1):23-6.
  16. Sambu Baitha, Raizada RM, Kennedy Singh AK, Puttewar MP, Chaturvedi VN.Clinical profile of Hoarseness of voice. Indian journal of otolaryngology and head and neck surgery 2002 Jan-March;54(1):14-18.
  17. Banjara H, Mungutwar V, Singh D, Gupta A. Hoarseness of voice: A retrospective study of 251 cases. International J Phon-osurgery and Laryngology. 2011;1(1):21-7.

Corresponding Author

Dr Prashant Nanwani

S/O-Sukhdev Nanwani, Station Road Naharpara, Behind Sindhi Dharamshala, Raipur, Chhattisgarh-492009, India

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