THROAT - Hoarseness

What is hoarseness of voice?

It is a breathy and harsh voice resulting due to an abnormality in the larynx.

What are the causes of hoarseness of voice?

I. Congenital:

  • Laryngeal web
  • Laryngeal cysts

II. Acquired: Neoplastic:

Benign

  • Pharyngeal diverticula: Over flow of contents into larynx causes chronic irritation of the larynx and laryngitis
  • Juvenile Laryngeal Papillomatosis
  • Haemangioma
  • Cysts of vocal cords

Malignant:

  • Bronchial carcinoma: The malignancy commonly involves the mediastinum and obstructs the superior vena cava causing recurrent laryngeal nerve palsy.
  • Carcinoma of vocal cords and larynx
  • Thyroid carcinoma
  • Oesophageal malignancies involving the recurrent laryngeal nerve

III. Inflammatory:

  • Acute laryngitis
  • Chronic laryngitis
  • Atrophic laryngitis: It is a rare condition characterized by atrophic changes in the respiratory mucosa with mucous producing glands
  • Tuberculosis
  • Singers nodules
  • Diphtheria
  • Leprosy

IV. Traumatic:

  • Intubation trauma
  • Inhalation of foreign body
  • Accidents
  • Strangulation

V. Miscellaneous:

  • Vocal cord palsy
  • Laryngeal oedema
  • Gout
  • Laryngocoele
  • Functional aphonia
  • Reflux oesophagitis

What investigations are required for diagnosing the cause of hoarseness of voice?

  • Blood: Routine blood investigations
  • Test for diabetes, syphilis (VDRL)
  • Thyroid function tests
  • Indirect laryngoscopy in OPD
  • Direct laryngoscopy to confirm findings
  • Fibre-optic laryngoscopy helps to check the larynx closely
  • Panendoscopy
  • CT Scan may be useful in cases of malignancy
  • Allergy Test
  • Voice analysis by a Voice therapist gives a perfect picture of the voice quality

What is the treatment for hoarseness of voice?

  • History: To know of any trauma and progress of the hoarseness
  • ENT examination to know the cause of the hoarseness

Medical line of treatment:

  • Voice rest
  • Steam inhalation
  • Antibiotics to control infection
  • Anti inflammatory medicines
  • Low dose steroids in tapering dose.
  • Vocal Hygiene
  • Voice Therapy

If there is improvement within 1 week:

  • Voice Hygiene
  • Voice Therapy

If there is no improvement for 2 weeks: Microlaryngoscopy with laser surgery.



Bombay Hospital and Medical Research Center
201, 2nd Floor, New Wing 12,
New Marine Lines
Mumbai - 400020
Contact Phone No: 91-022-25283707 Contact Mob No: 07715050774

Juvekars Nursing Home
17/18, Shivsagar CHS
Opposite Akbarallys,
Off Sion Trombay Road
Chembur East, Mumbai -71
Tel: +91-22-25271140
+91-22-25271150

For any suggestions. Please mail at: feedback@specialist-ent.com

Topic on Noise Pollutions By Dr.Meenesh Juvekar ON AIR 93.5 Red FM With RJ Malishka


Topic on Coughing By Dr.Meenesh Juvekar ON AIR FM GOLD


Topic on Snoring Problems By Dr.Meenesh Juvekar ON AIR FM GOLD