International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 2 , ISSUE 1 ( January-June, 2012 ) > List of Articles

RESEARCH ARTICLE

Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients

Rauf Ahmad, Raja Salman Khurshid, Mukhtar Ahmad Khan

Citation Information : Ahmad R, Khurshid RS, Khan MA. Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients. Int J Phonosurg Laryngol 2012; 2 (1):23-29.

DOI: 10.5005/jp-journals-10023-1030

Published Online: 01-06-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

This study was undertaken to study the clinical profile of hoarseness and the role of conservative (nonsurgical) and surgical modes of intervention.

Materials and methods

A prospective cohort analysis was carried out in Department of ENT, Government Medical College, Srinagar, in 145 cases of change in voice for 2 years duration. All cases were analyzed for detailed history and pre- and postoperative fiber optic laryngeal examination. The cases were managed by conventional conservative methods or underwent phonosurgery in nonresolving cases.

Results

Total 145 cases with M:F ratio of 1.37:1 were analyzed. Patients’ age ranged from 5 to 80 years and majority of patients equally presented in 4th and 6th decade and about 75% had duration of hoarseness of more than 3 months. A voice demanding profession was present in 34% of cases. Vocal abuse was the commonest predisposing factor (about 40%) followed by larygopharyngeal reflux disease (26%). Functional voice disorders were found in 15.85% of cases while 62.06% of patients had a definite organic disorder. Conservative treatment (primary) was employed in 103 cases (71%), surgical treatment (primary) in 42 cases (29%) and surgical treatment after failure of conservative was given in 22 cases (15%).

How to cite this article

Khurshid RS, Khan MA, Ahmad R. Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients. Int J Phonosurg Laryngol 2012;2(1):23-29.


PDF Share
  1. Nomenclature of voice disorders and vocal pathology. Otolaryngologic Clinics of North America 2000;33(5).
  2. Clinical profile of hoarseness of voice. Indian J Otolaryngol Head Neck Surg 2002 Jan-March;54(1):14-18.
  3. Hoarseness of voice: A retrospective study of 251 cases. Int J Phonosurg Laryngol 2011 Jan-June;1.
  4. Functional voice disorders and their occurrence in 100 patients of hoarseness as seen in fibreoptic laryngoscopy. Indian J Otolaryngol Head Neck Surg 2004 Apr-June;56(2):91-95.
  5. Microlaryngoscopic study of 100 cases of hoarseness of voice. Indian J Otolaryngol Head Neck Surg 2001 Oct-Dec;53(4):270-72.
  6. Incidence of chronic hoarseness among school age children. J Speech Hear Disord 1975;40:211-15.
  7. Management of dysphonia in children. J Laryngol Otol 2009;123:642-47.
  8. The prevalence of childhood dysphonia: A cross-sectional study. J Voice 2006;20:623-30.
  9. Study of benign glottic lesions undergoing MLS. Indian J Otolaryngol Head Neck Surg 1997;49(3): 276-79.
  10. Description of laryngeal pathologies by age, sex and occupation in a treatment seeking sample. J Speech Hear Disord 1988;53:57-64.
  11. Pharyngeal acid reflux events in patients with vocal cord nodules. Laryngoscope 1998;108:1146-49.
  12. Hoarseness in children and role of LPR. Int J Pediatric Otorhinolaryngology 2007;71:1361-69.
  13. Gastroesophageal reflux and voice disorder. Diagnosis and treatment of voice disorders. New York-Tokyo 1995;161-75.
  14. Diagnostic value of stroboscopic examination in hoarse patients. Journal of Voice 1991;5(3):231-38.
  15. Strobovideolaryngoscopy: Results and clinical value. Annals of Otology, Rhinology and Laryngology 1991 Sep;100(9):725-27.
  16. The spectrum of vocal dysfunction. OCNA. 1991 Oct;24(5):985-88.
  17. Measuring voice outcome: State of science review. J Laryngol Otol 2009;123:823-29.
  18. Optimizing outcome assessment of voice intervention. J Laryngol Otol 2007;121:763-67.
  19. Clinical examination of voice. Ist edition. Vienna: Springer-Verlag, 1981.
  20. Development and validation of voice handicap index- 10. Laryngoscope 2004;9:1549.
  21. Vocal outcome following subepithelial infiltration technique in microflap surgery: A review of 30 cases. J Laryngol Otol 2007;121:768-71.
  22. Mutational falsetto: Intervention outcome in 45 patients. J Laryngol and Otol 2008;122:277-81.
  23. Manual circumlaryngeal techniques in the assessment and treatment of voice disorders. Opinion in Otolaryngology and HNS 1998;6:151-55.
  24. Evaluation of omeprazole in treatment of reflux laryngitis: A prospective, Placebo controlled, randomized, double blind study. Laryngoscope 2001;111:2147-51.
  25. Role of early voice therapy in patients affected by unilateral vocal fold paralysis. J Laryngol Otol 2008;122:936.
  26. Laryngoplasty for vocal cord medialization: An alternative to Teflon. Laryngoscope 1986 July;96.
  27. Phonosurgery: Sialastic medialization for unilateral vocal fold paralysis. Operative Tech. Otolaryngol Head Neck Surg 1993;4:207-17.
  28. Voice therapy for vocal fold paralysis. OCNA 2004;37:115.
  29. Complications after type one thyroplasty. ILO 2008.
  30. Botulinum toxin in management of spasmodic dysphonia. A 12 years experience in more than 900 patients. Laryngoscope 1998;108:1435-41.
  31. Role of allergy in etiopathogenesis of laryngeal mucosal lesion. Acta Otolaryngol (Stockh) 1997.527(supple).
  32. Vocal fold masses. OCNA 2007;40:101.
  33. Small vocal cord polyps completely resolved with conservative treatment. South Asian I Trop Med Public Health 2004;35(1):169-71.
  34. Phonomicrosurgical treatment of intracordal vocal fold cyst in singers. Laryngoscope 2009;119:419-22.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.