CLINICAL PROFILE AND MANAGEMENT OF HOARSENESS IN SOUTHWEST, NIGERIA
Article Sidebar
Abstract Views | PDF/EPUB Download:
127
/ 56
/ 33
Main Article Content
Abstract
Introduction: Hoarseness can be described as roughness, breaks or unnatural changes in voice. It is not a diagnosis on its own but a common symptom or sign in otorhinolaryngological practice. Hoarseness can be the first and sometimes the only signal of a serious local or systemic disease. This study aimed at the clinical presentation, diagnoses, treatment modalities and quality of life of patients with hoarseness in our locality.
Methodology: This is a cross-sectional study of adult patients with hoarseness. Written informed consent was obtained. The study proforma was administered to each consenting participant. Clinical assessment of all patients, video laryngoscopy and administration of Reflux Symptom Index, Reflux Finding Score, and Voice Handicap Index were done and recorded in a proforma. The data collected was analyzed with Statistical Product and Service Solutions. The results were presented as quantitative and qualitative variables, which were depicted using tables and graphs. For all statistical studies, p-value ≤ 0.05 will be considered as being statistically significant.
Result: Age of hoarseness patients ranges from 19-80 years. Only 11 (28.9%) patients presented to the clinic within 6 months of onset of complaints. Chronic non-specific laryngitis was the most common cause of hoarseness. There was no statistical significance in the relationship between hoarseness characteristics and clinical diagnosis. The voice handicap index-10 showed that the quality of life of 29 (76.3%) had been affected by hoarseness and there was a positive correlation between reflux symptom index and reflux finding score.
Conclusion: Clinical profile of hoarseness varies from one locality to another and from an individual to another. Therefore, every patient should be evaluated carefully and thoroughly before making a clinical diagnosis which will result in an early, prompt and individualized management plan.
Downloads
Article Details
Issue
Section
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
Share
References
Stachler RJ, Francis DO, Schwartz SR, et al. Clinical Practice Guideline: Hoarseness (Dysphonia) (Update). Otolaryngol Neck Surg. 2018;0015(1_suppl):S1–42.
Gupta A, Jamwal PS. Clinical study of 100 cases of hoarseness of voice: a hospital based study. Int J Otorhinolaryngol Head Neck Surg. 2018;4(6):1–4.
Roy N, Merrill RM, Gray SD, Smith EM. Voice disorders in the general population: prevalence, risk factors, and occupational impact. Laryngoscope. 2005;115(11):1988-95.
Adegbiji WA, Aremu SK, Nwawolo C, Olajuyin OA, Olatoke F. Diagnosis and Management of Hoarseness in Developing Country. Open Sci J. 2018;3(2):1–10.
Mau T. Diagnostic evaluation and management of hoarseness. Med Clin. 2010;94(5):945–60.
Alanazi R, Alrahim A, Bayounos S, Al-Ghuwainem A, Al-Bar MH. Association Between Voice Handicap Index and Reflux Symptom Index: A cross-sectional study of undiagnosed general and teacher cohorts in Saudi Arabia. Sultan Qaboos Univ Med J. 2018;18(3):e350–354.
Timmons Sund L, Collum JA, Bhatt NK, Hapner ER. VHI-10 Scores in a Treatment-Seeking Population With Dysphonia. J Voice. 2023;37(2):290.e1-290.e6.
Nacci A, Bastiani L, Barillari MR, et al. Reflux Symptom Index (RSI) and Singing Voice Handicap Index (SVHI) in Singing Students: A Pilot Study. J Voice. 2022;36(2):288.e25-288.e34.
Belafsky PC, Postma GN, Koufman JA. The validity and reliability of the reflux finding score (RFS). Laryngoscope. 2001;111(8):1313–7.
Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice. 2002;16(2):274–7.
Bhargava A, Mohammad S, Srivastava AP, Varshney P, Saxena S, Agarwal E. Role of reflux symptom index and reflux finding score in evaluation of treatment outcome in patients with laryngopharyngeal reflux. Int J Phonosurgery Laryngol. 2017;7(2):39–43.
Mathieson L. Voice disorders: presentation and classification. In: Greene B, Mathieson L, editors. The voice and its disorders. 6th ed. London: Whurr Publishers; 2001. p. 121–44.
Baitha S, Raizada RM, Singh AKK, Puttewar MP, Chaturvedi VN. Clinical Profile of Hoarseness of Voice. Indian J Otolaryngol Head Neck Surg. 2002;54:14–18.
Anil HT, Raj NL, Pillai N. A Study on Etiopathogenesis of Vocal Cord Paresis and Palsy in a Tertiary Centre. Indian J Otolaryngol Head Neck Surg. 2019;71(3):383–389.
Banjara H, Mungutwar V, Singh D, Gupta A. Hoarseness of Voice: A Retrospective Study of 251 Cases. Int J Phonosurgery Laryngol. 2011;1(1):21–7.
Adeyeye FM, Iseh KR, Abdullahi M. Hoarseness in a Nigerian tertiary health facility: Prevalence, aetiology and predisposing factors. Niger Postgr Med J. 2022;29:341-6.
Omokanye HK, Alabi BS, Idris SO, et al. Diagnostic accuracy of flexible fiberoptic laryngoscopy: experience from a tertiary health institution in Nigeria. Eur Arch Otorhinolaryngol Head Neck Surg. 2021;278(8):2937–42.
Abraham ZS, Kahinga AA. Utility of reflux finding score and reflux symptom index in diagnosis of laryngopharyngeal reflux disease. Laryngoscope Investig Otolaryngol. 2022;7(3):785‐789.
Korsunsky SRA, Camejo L, Nguyen D, et al. Voice Hoarseness with Reflux as a Suspected Etiology: Incidence, Evaluation, Treatment, and Symptom Outcomes. J Gastrointest Surg. 2023;27:658–665.
Muddaiah D, Prashanth V, Vybhavi MK, Srinivas V, Lavanya M. Role of Reflux Symptom Index and Reflux Finding Score in Diagnosing Laryngopharyngeal Reflux: A Prospective Study. Indian J Otolaryngol Head Neck Surg. 2023;75:777–783.