Online ISSN: 2515-8260

Keywords : Benign lesions larynx


AN EVALUATION OF BENIGN LARYNGEAL PATHOLOGIES WITH THEIR MANAGEMENT AND PROGNOSIS

Dr. Anant Chouhan, Dr. Bindu Rani

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 5857-5863

Objective   The study was undertaken to identify the benign laryngeal pathologies and their modes of clinical presentation, etiological factors, sites of involvement, demographic  profile of  the  patients, management and prognosis.
Study design  This is a four and half year prospective study of 50 patients with benign laryngeal  lesions attending an outpatient department from September 2016 to February 2021.
Materials and methods  A total of 50 patients with benign laryngeal lesions were included in the study based on symptoms such as change in voice, foreign body sensation, throat pain, cough and positive findings on clinical examination. The patients were in the age group of 15–60 years. All diagnostic investigations and therapeutic microlarygoscopic procedures were done.
Results   Malepreponderance with a male:female ratio of 2.33:1 was seen. Majority of the patients were in the age group of 31–40 years. Vocal cord polyps were observed to be the commonest type of lesions (58%). Vocal Abuse was the  most common predisposing factor (40%). Hoarseness was the commonest symptom (100%). In  the  study  group, only 6% patients  got complete relief with conservative management , 94% patients required microlaryngeal surgery. There was no recurrence during the follow up period.
Conclusion   Organic disorder of larynx is the commonest cause among benign laryngeal disorder. Early diagnosis can  lead to effective management and good recovery. Microlaryngeal surgery and voice rest are the treatment of choice and postoperative speech therapy should be provided to prevent recurrences