Evaluation of Clinical Profile and Etiopathology for Hoarseness of Voice- A Study of 146 Cases

  • Dr. Ramachandra Rao Vengala Associate Professor, Department of ENT, Maharajah Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
  • Dr. Nagamanohar Kapilavaya Assistant Professor in ENT, Maharajah Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
  • Dr.Visweswara rao Suraneni Associate Professor in ENT, Maharajah Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
Keywords: Hoarseness of Voice, Laryngeal Neoplasms, Laryngoscopy, Vocal Cords, Vocal Cord Paralysis

Abstract

Background: Hoarseness of voice is the most common symptom related to laryngeal pathology and may be caused due to mild upper respiratory tract infections to life threatening laryngeal malignancies.

Aim: The aim of this study is to evaluate various causes, predisposing factors and clinical profile of patients presenting with hoarseness of voice.

Design: It is an observational study.

Materials and methods: 146 patients attended to Otolaryngology department with h/o hoarseness of voice during the period of JAN 2013 to DEC 2014 were included. Primary information was obtained by detailed history, Clinical ENT examination and video laryngoscopy and imaging studies. Various laryngeal causes were identified and evaluated. Statistical analysis was done using standard methods.

Results: Out of total 18,200 patients examined, 146(0.8%) found to have hoarseness of voice. Male to female ratio was 1.28:1.Common age group involved was 31-40 years in 54(36.98) cases. Common etio pathologies included Acute laryngitis in 45(30.82%) cases, chronic laryngitis in 29(19.86%), vocal nodules in 18 (12.32%), vocal cord palsy in 11(7.53%) and vocal cord malignancy in 19(13.01%) patients. Common Predisposing factors were smoking in 43(29.45%) cases and vocal abuse in 37(25.34%) cases.

Conclusion: Most of the etiopathological factors found in this study were treatable and significant numbers of patients were having neoplastic disease. So, early diagnosis with the help of videolaryngoscopy and imaging can reduce the morbidity and mortality.

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References

1. Samlan RA, Voice analysis.In:Cummings CW,Flint PW,Haughey BH,Robbins KT, et al editors. Cummings otorhinolaryngology Head and Neck Surgery.4thedn.Philadelphia: Elsevier Mosby Inc; 2005.p.2008. [PubMed]

2. Mc Glashan J, Disorders of the voice. In:Gleeson M,editor.Scott- Browns otorhinolaryngology Head and Neck Surgery.7th edn.London:Hodder Arnold;2008.p.2192-94. [PubMed]

3. Dettelbach M, Eibling DE, Johnson JT. Hoarseness. From viral laryngitis to glottic cancer. Postgrad Med. 1994, Apr; 95(5):143-6. [PubMed]

4. Ludlow CL, Bielamowicz SA, Neurigenic disorders of the larynx. In:Snow JB, Wackym PA, editors. Ballingers otorhinolaryngology Head and Neck Surgery. Centennial edn.Shelton,CT:BC Decker Inc; 2009.p.913-918.

5. Banjara H, Mungutwar V, Singh D, Gupta A. Hoarseness of Voice: A Retrospective Study of 251cases. International journal of Phonosurgery and Laryngology.2011; 1(1):21-27.

6. Pal KS, Kaushal AK, Nagpure PS, Agarwal G. Etiopathological study of 100 patients of hoarseness of voice: in a rural based hospital. Indian J Otolaryngol Head Neck Surg. 2014 Jan; 66(1):40-5. [PubMed]

7. Nwaorgu OG, Onakoya PA, Ibekwe TS, Bakari A. Hoarseness in adult Nigerians: a University College Hospital Ibadan experience. Niger J Med. 2004 Apr-Jun; 13(2):152-5. [PubMed]

8. Ghosh SK, Chattopadhyay S, Bora H, Mukherjee PB. Microlaryngoscopic study of 100 cases of Hoarseness of voice.Indian Journal of Otolaryngology and Head and Neck Surgery. 2001; 53(4):270-2. [PubMed]

9. Kiakojoury K, Dehghan M, Hajizade F, Khafri S. Etiologies of Dysphonia in Patients Referred to ENT Clinics Based on Videolaryngoscopy. Iran J Otorhinolaryngol. 2014 Jul; 26(76):169-74. [PubMed]

10. Khurshid RS,Khan MA,Ahmad R.Clinical profile of hoarseness and its management options: A 2 years prospective study of 145 patients. International journal of phonology and laryngology.2012 jan-june; 2(1):23-29. [PubMed]

11. Smith E,GrayS,Dove H,Kirchner L,Heras H.Frequency and effects of teachers voice problems.Journal of voice.1997;11:81-87. [PubMed]

12. Angelillo M, Di Maio G, Costa G, Angelillo N, Barillari U. Prevalence of occupational voice disorders in teachers. . J Prev Med Hyg. 2009 Mar; 50(1):26-32. [PubMed]

13. Fritzell B.Voice disorders and occupations.Log Phon Votol.1996; 21:712. [PubMed]

14. Roy N, Merrill RM, Thibeault S, Parsa RA, Gray SD, Smith EM .Prevalence of voice disorders in teachers and the general population. J Speech Lang Hear Res. 2004 Apr;47(2):281-93. [PubMed]

15. Reiter R, Brosch S. Chronic laryngitis -associated factors and voice assessment. Laryngorhinootologie. 2009 Mar; 88(3):181-5. [PubMed]

16. Smullen JL, Lejeune FE. Otolaryngologic manifestations of gastro esophageal reflux disease.J La State Med Soc.1999; 151(3):115-9. [PubMed]

17. Gregory ND, Chandran S, Lurie D, Sataloff RT. Voice disorders in the elderly. J Voice. 2012 Mar; 26(2):254-8. [PubMed]

18. Koufman JA.The otolaryngologic manifestations of gastro-esophageal reflux disease (GERD): A clinical investigation of 225 patients using ambulatory 24-hour Ph monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury.Laryngoscope.1991;10153:1-78. [PubMed]

19. Soldatskil LuL, Sorokina VT, Onufrieva EK, Fedorova OIu, Pogosova IE, Volod'kina VV. Hoarseness patterns in children. Vestn Otorinolaringol. 2010 ;( 2):28-31. [PubMed]

20. Schneider-Stickler B. Voice disorders in childhood.HNO. 2012 Jul;60(7):590-4. [PubMed]

21. Martins RH, Hidalgo Ribeiro CB, Fernandes de Mello BM, Branco A, Tavares EL. Dysphonia in children. J Voice. 2012 Sep; 26(5):674. [PubMed]

22. BaithaS, Raizada RM, Singh AKK, Puttewar MP, Chaturvedi VN. Clinical profile of hoarseness of voice. Indian Journal of Otolaryngology and Head and Neck Surgery.2002Jan-Mar; 54(1): 14-18. [PubMed]

23. Kumar H, S Seth S. Clinicopathological Profile Of Hoarseness Of The Voice. The Internet Journal of Otorhinolaryngology. 2010 ;13(1):4102.

24. Parikh NP. Aetiological study of 100 cases of hoarseness of voice. Indian Journal of Otolaryngology.June 1991, 43(2): 71-73. [PubMed]

25. Batra K,Motwani G,SagarPC. Functional voice disorders and their occurrence in 100 patients of hoarseness as seen on fibro optic laryngoscopy. Indian Journal of Otolaryngology and Head and Neck Surgery.2004Apr-Jun; 56(2):91-95. [PubMed]

26. Mau T. Diagnostic evaluation and management of hoarseness. Med Clin North Am. 2010 Sep; 94(5):945-60. [PubMed]

27. Sataloff RT,Spiegel JR,Hawkshaw MJ.Strobovideo-laryngoscopy:Results and clinical value. Annals of otology,rhinologyand laryngology.1991Sep;100(9):725-27.
CITATION
DOI: 10.17511/ijmrr.2015.i2.030
Published: 2015-03-31
How to Cite
1.
Rao Vengala R, Kapilavaya N, rao Suraneni V. Evaluation of Clinical Profile and Etiopathology for Hoarseness of Voice- A Study of 146 Cases. Int J Med Res Rev [Internet]. 2015Mar.31 [cited 2024Jul.3];3(2):167-73. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/205
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Original Article