Review of 300 Cases of Hoarseness of Voice and its Management in ENT Department Unit I, Allied Hospital Faisalabad

Babar Rafiq Khan; Hafiz Sajjad Hyder; Khawaja Shakeel Ghani; Nisar Akber Khan; Muhammad Ikhlaq Anwar; Muhammad Ehsan; Muhammad Taqi; Muhammad Ali Tirmizey

doi:10.29054/apmc/2014.356

Babar Rafiq Khan Assistant Professor of ENT-I PMC / Allied Hospital, Faisalabad
Hafiz Sajjad Hyder Medical Officer of ENT-I Allied Hospital, Faisalabad
Khawaja Shakeel Ghani Medical Officer, ENT Divisional Teaching Hospital Mirpur, AJK
Nisar Akber Khan Medical Officer of ENT-I, Allied Hospital, Faisalabad
Muhammad Ikhlaq Anwar Former RMO ENT Department, Staff officer to the Principal Punjab Medical College, Faisalabad
Muhammad Ehsan Medical Officer of ENT-I Allied Hospital, Faisalabad
Muhammad Taqi Medical Officer of ENT-I Allied Hospital, Faisalabad
Muhammad Ali Tirmizey Professor and Head Department of ENT, PMC/Allied Hospital, Faisalabad

DOI: https://doi.org/10.29054/apmc/2014.356

Abstract

Objective: Aim of the study was to determine the prevalence and various management options of Hoarseness. Place and Duration of Study: 300 patients were selected from ENT OPD and casualty department of Allied Hospital, Faisalabad during January, 2013 to June, 2014. Materials & Methods: 300 patients were selected for study. The patients were assessed and a treatment plan formulated. Treatments were given depending on patients symptoms, vocal requirements and clinical findings.

Results: In our study, majority of the cases, 116 patients (38.66%) were found to be suffering from Acute and Chronic Laryngitis, as the leading cause of Hoarseness. Acute Laryngitis was found in two peaks of age groups, one below 10 years of age, then the 2^nd peak was found in age group between 10 to 20 years. In our study 46 patients of Tumors (15.33%) were the 2^nd highest cause of Hoarseness. Tumors were found to be maximum in age group of 50 to 60 years. 49 patients were found to be suffering from Vocal Nodules (16.33%).Vocal Nodules were found to be maximum in the age group between the 30 to 40 years. Vocal Cord Paralysis was found in 33 patients (11%). Trauma, Blunt or Iatrogenic (injury to Recurrent Laryngeal Nerve following Thyroidectomy) was found in 27 patients (9%) as a cause of Hoarseness. Trauma was common in the age group between 10 to 20 years. 18 patients (6%) were found to have Vocal Polyps and the maximum age group was found to be between 30 to 40 years. Diphtheria was found in 8 patients (2.67%) and the maximum age group was below 10 years. All improved by timely ADS, Antibiotics and tracheostomy. Laryngeal Web was found in only 3 patients (01%) and the age group was again below 10 years. Conclusion: Our study concludes that acute & chronic laryngitis is the leading cause of hoarseness (42% of cases) and management plan varies according to its etiological cause from conservative voice rest and speech therapy to surgical intervention.