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AGE-RELATED ETIOLOGICAL SPECTRUM OF HOARSENESS OF VOICEAMONG PATIENTS VISITING TO TERTIARY CARE HOSPITAL

. Uneeba Rehman, Zubair Anwar, Rehana, Maria Mahmood, Muhammad Razzaq Dogar, Ahsan Ali Siddiqui


Abstract

Objectives: To determine the frequency of age-related etiological spectrum of hoarseness of voice among patients visiting to tertiary care hospital

Methodology:This cross sectional observational study using non-probability consecutive sampling technique was done for six months at department of ENT, Jinnah Postgraduate Medical Center, Karachi. Patients of either gender visiting ENT department between 18 - 60 years and diagnosed with hoarseness were included while patients with history of thyroid surgery, prior vocal cord paralysis (diagnosed on indirect laryngoscope done pre-operatively), or with severe systemic disease were excluded. At presentation, all patients had their vocal cords checked. For data analysis, SPSS version 20.0 was used. Chi-square test was applied to test for significance. keeping p <0.05 as significant.

Results:From 177 patients, mean age was 42.56 ± 12.53 years. The age ranged from minimum of 20 years to maximum of 60 years. 111 (62.71 %) patients were male, 66 (37.2 %) females.According to diagnosis, 39 (22 %) patients reported hoarseness of voice after thyroid surgery, 37 (20.90 %) had left vocal cord paralysis, 14 (7.90 %) had right vocal cord paralysis, 13 (7.34 %) had carcinoma, 19 (10.7 %) had vocal cord nodules, 16 (9.03 %) vocal polyps, 20 (11.2 %) chronic laryngitis and 19 (10.16 %) had acute laryngitis.Most common cause of hoarseness in patients 20-42 years was left vocal cord paralysis (7.3 %) and in >42 years of age was thyroid surgery (16.9%).

Conclusion:Majority of patients with hoarseness of voice were older than 40 years of age with the most common etiology being thyroid surgery and vocal cord paralysis.

Keywords:Hoarse Voice; Etiological spectrum; Organic Voice Disorders; Non-organic Voice Disorders

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