DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20200516

A descriptive study of benign vocal cord lesions

Bhoomi Bhadesia, Rashmi Sorathiya, Hetal Joshi, Nisarg Desai, Narendra Hirani

Abstract


Background: Various vocal cord lesions have a significant influence on vocalization. In India and other developing countries, the prevailing lower economic status, poor general health of population, different food habits, vocal habits, smoking and drinking habits, unhealthy environment and different social customs definitely influence the incidence of various vocal cord lesions. Objective of this was study was to find out the incidence of various vocal cord lesions, factors affecting the voice and treatment.

Methods: This is a prospective study carried out in ENT Department from June 2018 to September 2019 at a tertiary care teaching hospital of Western Gujarat. We evaluated 48 patients who had various lesions on vocal cord. Incidence, age, gender, occupational factors, contributing factors, clinical features, histopathological findings were studied.  

Results: Vocal cord lesions were more common in males (64.58%), 21 to 40 years of age group. Change of voice (100%) was the most common presenting symptom. Vocal abuse (83.33%) was most common etiological factor. Students (27.08%) were most commonly affected. Maximum cases were of vocal cord nodules (39.58%). All vocal cord lesions (except papilloma) had good recovery with no recurrence.

Conclusions: Vocal cord lesions were more common in males and in 3rd and 4th decades of life. Change of voice was the most common presenting symptom. Vocal abuse was most common etiological factor. Students were more affected in vocal cord lesions. Vocal cord nodules were the most common lesions. Microlaryngeal surgery, voice rest and speech therapy are the mainstay of the treatment for benign lesions.


Keywords


Hoarseness of voice, Microlaryngeal surgery, Speech therapy, Vocal cord lesions

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References


Batra K, Motwani G, Sagar PC. Functional voice disorders and their occurrence in 100 patients of hoarseness as seen on fibreoptic laryngoscopy. Indian J Otolaryngol Head Neck Surg. 2004;56(2):91-5.

Singhal P, Bhandari A, Chouhan M, Sharma MP, Sharma S. Benign tumors of the larynx: a clinical study of 50 cases. Indian J Otolaryngol Head Neck Surg. 2009;61(1):26.

Hegde MC, Kamath MP, Bhojwani K, Peter R, Babu PR. Benign lesions of larynx-A clinical study. Indian J Otolaryngol Head Neck Surg. 2005;57(1):35–8.

Baitha S, Raizada RM, Singh AK, Puttewar MP, Chaturvedi VN. Clinical profile of hoarseness of voice. Indian J Otolaryngol Head Neck Surg. 2002;54(1):14-8.

Parikh N P. Aetiological study of 100 cases of hoarseness of voice. Indian J Otolaryngol. 1991;43(2):71-3.

Koufman J, Blalock PD. Classification and approach to patients with functional voice disorders. Ann Otol Rhinol Laryngol. 1982;91:372-7.

Chopra H, Kapoor M. Study of Benign Glottic lesions undergoing Microlaryngeal Surgery. Indian Journal of Otolaryngology and Head and Neck Surgery. 1997;49(3):276-9.

Dikkers FG, Nikkels PG. Benign lesions of the vocal folds. Histopathology and Phonotrauna. Ann Otol Rhinel Laryngol. 1995;104:698-703.

Holinger PH, Johnston KC. Benign tumours of larynx. Ann Otol Rhinol Laryngol. 1951;60:496-509.