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ETIOLOGICAL SPECTRUM OF HOARSENESS OF VOICE ACCORDING TO GENDER

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


Abstract

Objectives: To determine incidence of etiological spectrum of hoarseness of voice according to gender

Methodology: After ethical approval, this study was carried out at the ENT department of Jinnah Postgraduate Medical Center, Karachi for six months. Inclusion criteria included patients between 18-60 years of age, of either gender diagnosed with hoarseness while those with history of any severe systemic disease or reused to consent were excluded. Vocal cords of all patients were checked at presentation. SPSS v 20.0 was used for analysis of data with chi-square test applied for testing of significance keeping p-value <0.05 as statistically significant.

Results:Total of 177 patients included in the study with mean age of 42.56 ± 12.53 years. 111 (62.71 %) patients were male while 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. The most common etiological factor for hoarseness in males as well as in females was thyroid surgery, in 11.3 % and 10.7 % each.

Conclusion:Most common etiological factor hoarseness in both males and females was thyroid surgery while least common in males was right vocal cord paralysis while in females was vocal polyps.

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

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