Abstract
Objective
The study was undertaken to identify the common type of lesions, and the age, sex distribution, symptomatology, sites of involvement and prognosis of the same.
Study design
A two-year prospective study was conducted from January 2005 to December 2006.
Setting
The study was conducted at SMS Medical College, Jaipur, Rajasthan, India—a tertiary referral hospital.
Patients
A total of 50 patients with benign laryngeal lesions were included in the study based on symptoms such as hoarseness of voice, foreign body sensation, throat pain, neck mass and cough and with positive clinical findings on indirect laryngoscopy and neck examination. The patients were in the age group of 14–63 years. All nonoperative cases and malignant cases were excluded. Diagnostic hematological and radiological investigations and therapeutic microlarygoscopic procedures were employed.
Results
A male preponderance with a male:female ratio of 2.5:1 was observed. Majority of the patients were in the age group of 21–30 years. Vocal cord polyps were observed to be the commonest type of lesions. In our study, hoarseness of voice, cough, foreign body sensation and throat pain were found to be the commonest symptoms. Out of the 50 patients in the study group, only 6% patients got complete relief with voice rest and vocal rehabilitation; 94% patients required surgery, which included microlarygoscopy and endolaryngeal surgery. There was no recurrence in cases of vocal polyps and nodules during the period of observation.
Conclusion
Microlaryngeal surgery and voice rest offer a cost-effective, useful and safe method for the management of benign laryngeal lesions. With the inclusion of lasers, they can be more precisely operated. As such, the standard treatment of choice in all types of benign tumors of the larynx should consist of a triad of approach by microlaryngeal surgery (either microscopic or endoscopic, with or without use of lasers), voice rest and vocal rehabilitation.
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References
New GB and Erich JB (1938) Benign tumors of the larynx: a study of 722 cases. Arch Otolaryngol 28:841–910
Hegde MC, Kamath PM, Bhojwani K, Peter R, Babu PR (2005) Benign lesions of the larynx - a clinical study, IJLO 57(1):35–38
Lowenthal G (1958) The treatment of polypoid laryngitis. Laryngoscope 1095–1103
Essadi M et al. (2001) Laryngeal tuberclosis: Apropos of 15 cases. Rev Laryngol Otol (Bord) 122:125–128
Shaw H (1979) Tumors of the larynx. Scott Brown’s diseases of the ear, nose and throat, 4th ed, Vol. 4. The pharynx and larynx, pp 421, Butterworth
Kambic V, Radsel Z, Zargi M and Acko M (1981) Vocal cord polyps: incidence, histology and pathogenesis. J Laryngol Otology 95:609–618
Baitha S, Raizada RM, Singh AKK, Puttewar MP, Chaturvedi VN (2002) Clinical profile of hoarseness of voice. Indian J Otolaryngol Head Neck Surg 54(1):14–18
Batra K, Motwani G, Sagar PC (2004) Functional voice disorders and their occurrence in 100 patients of hoarseness as seen on fibreoptic laryngoscopy. Indian J Otolaryngol Head Neck Surg 56(2):91–95
Chagnon F and Stone RE Jr (1996) Nodules and polyps. In: Brown WS, Vinson DP, Carry MA (eds) Organic voice disorders: assessment and treatment. Singular Pub. Group, San Diego
Capps FCW (1957) Benign tumor of larynx. J Laryngol 71:709–717
Chattopadhyay AK, Kacker SK (1972) Papilloma of the larynx. Indian J Otolaryngol 24:22
Stewart JP (1957) The histo-pathology of benign tumors of larynx. J Laryngol Otology 71:718–729
Fitz-Hugh GS, Chiong AT (1958) Pathology of three hundred clinically benign lesions of the vocal cords. Laryngoscope 68:855–875
Oliver WS (1962) Removal of benign lesions of the larynx under endo-tracheal anesthesia. Ann Otoloaryngol 71: 503–509
Salmon LFW (1979) Chronic laryngitis, Scott-Brown’s diseases of the ear, nose and throat, 4th ed, Vol. 4. The pharynx and larynx. pp 385–393
Strong MS, Vaughen CW (1971) Vocal cord nodules and polyps. Laryngoscope 81:911–915
Epstein SS, Winston P, Friedmann I (1975) The vocal cord polyp. J Laryngol Otology 71:673–688
Myerson MC (1964) Benign tumors. In: The human larynx. pp 262–267, Charles C Thomas Publisher, USA
Holinger PH, Maurizi DG (1962) Laryngeal papilloma: review of etiology and therapy. Laryngoscope 60: 1463–1473
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Singhal, P., Bhandari, A., Chouhan, M. et al. Benign tumors of the larynx: a clinical study of 50 cases. Indian J Otolaryngol Head Neck Surg 61 (Suppl 1), 26–30 (2009). https://doi.org/10.1007/s12070-009-0013-9
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DOI: https://doi.org/10.1007/s12070-009-0013-9