Prevalence of age, gender and pathological conditions of vocal cords leading to hoarseness of voice in a tertiary care hospital

Authors

  • Edakkattil Rameshkumar Department of Otorhinolaryngology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India
  • Tony Kalliath Rosmi Department of Otorhinolaryngology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20161088

Keywords:

Hoarseness of voice, Vocal cord, Polyp, Cancer of larynx, Cysts, Laryngitis, Phonaesthenia, Laryngopharyngeal reflux

Abstract

Background: Voice disorders that affect children and adults have different causes with respect to different age groups. Factors associated with voice disorder ranges from the medical to emotional stress. This study was aimed to analyze the different pathological causes leading to hoarseness of voice in population attending a tertiary care hospital.

Methods: Subjects with symptoms of hoarseness of voice visited the tertiary care hospital was included in the study. The etiologies such as vocal nodules, vocal cord polyps, vocal cord cysts, cancer of larynx, vocal cord paralysis and vocal cord oedema were evaluated using the video laryngoscopy. The prevalence was statistically analysed.

Results: Ninety nine subjects of both gender (age 10-79 years) were included in the retrospective study. Among the total subjects, 51 subjects were males and 48 were females. Maximum prevalence of hoarseness was 41%, found in the age group of 50-79 years. The most common cause for the hoarseness was due to vocal nodule (22%), vocal polyp (19%) and cancer of larynx (17%).  Number of subjects with the vocal nodule was significantly differ from that of vocal polyp (p =0.01, p<0.05). No significant difference (p>0.05) was found among the gender. However, the cancer of larynx was more associated with the age group 50-69 years with male dominance (p>0.05). Phonaesthenia was the minor cause (1%).

Conclusions: Among the causes for the hoarseness of voice, vocal nodules were the major. Causes such as vocal cord polyps, laryngeal cancer, chronic laryngitis, were found in a descending order of prevalence.

References

Carding P. Voice Pathology in the United Kingdom. BMJ. 2003;327(7414):514-5.

Van Houtte E, Van Lierde K, D'Haeseleer E, Claeys S. The prevalence of Laryngeal pathology in a treatment- seeking population with dysphonia. Laryngoscope. 2010;120:306.

García Alvarez CD, Campos Bañales ME, López Campos D, Rivero J, Pérez Piñero B, López Aguado D. Polyps, nodules and Reinke edema. An epidemiological and histopathological stud. Acta Otorrinolaringol Esp. 1999;50(6):443-7.

Cattaruzza MS, Maisonneuve P, Boyle P. Epidemiology of laryngeal cancer. Eur J Cancer B Oral Oncol. 1996;32B(5):293-305.

La Vecchia C, Zhang ZF, Altieri A. Alcohol and Laryngeal Cancer-an update. Eur J cancer prev. 2008;17(2):116-24.

Greisen O. Vocal cord sulcus. J Laryngol Otol. 1984;98(3):293-6.

Martins RH, do Amaral HA, Tavares EL, Martins MG, Gonçalves TM, Dias NH. Voice Disorders: Etiology and Diagnosis. J Voice. 2015.S0892-1997(15)00217-9.

Roy N, Stemple J, Merrill RM, Thomas L. Epidemiology of voice disorders in the elderly: preliminary findings. Laryngoscope. 2007;117(4):628-33.

Ryu CH, Han S, Lee MS, Kim SY, Nam SY, Roh JL et al. Voice changes in elderly adults: prevalence and the effect of social, behavioral, and health status on voice quality. J Am Geriatr Soc. 2015;63:1608-14.

Marcotullio D, Magliulo G, Pietrunti S, Suriano M. Exudative Laryngeal diseases of Reinke’s space: a clinicohistopathological framing. J Otolaryngol. 2002;31:376-80.

Kiakojoury K, Dehghan M, Hajizade F, Khabri S. Etiologies of dysphonia in patients referred to ENT clinics based on video laryngoscopy. Iran J Otorhinolaryngol. 2014;26:169-74.

Remacle M, Degols JC, Delos M. Exudative lesions of Reinke’s space. An anatamopathological correlation. Acta Otorhinolaryngol Belg. 1996;50(4):253-64.

Nwaorgu OG, Onakoya PA, Ibekwe TS, Bakari A. Hoarseness in adult Nigerians - a university college hospital ibadan experience. Niger J Med. 2004;13:152-5.

Zheng W, Blot WJ, Shu XO, Gao YT, Ji BT, Ziegler RG et al. Diet and other risk factors for laryngeal cancer in Shanghai, China. Am J Epidemiol. 1992;136(2):178-91.

Toutounchi SSJ, Eydi M, Golzari SE, Ghaffari MR, Parvizian N. Vocal cord paralysis and its etiologies: a prospective study. J Cardiovasc Thorac Res. 2014;6(1):47-50.

Dankbaar JW, Pameijer FA. Vocal cord paralysis: anatomy, imaging and pathology. Insights Imaging. 2014;5(6):743-51.

Reiter R, Hoffmann TK, Pickhard A, Brosch S. Hoarseness-causes and treatments. Dtsch Arztebl Int. 2015;112(19):329-37.

Downloads

Published

2017-01-02

Issue

Section

Original Research Articles