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Idiopathic Ulcerative Laryngitis (IUL): An Indian Perspective

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Abstract

Idiopathic ulcerative laryngitis (IUL) is characterized by bilateral ulceration of vocal cords which is followed by a protracted course of healing. It is rarely diagnosed, with a paucity of published data in English literature. There is no published data on this topic in the Indian population. Twenty-one patients from 3 centres were prospectively evaluated for clinical presentation, diagnosis, treatment, and follow-up. All patients underwent fibreoptic laryngoscopic evaluation and stroboscopic assessment. They were treated with supportive care and stringent follow-up. 21 patients with a median age of 39 years were included. This condition was commonly seen in males. All patients were treated conservatively except two who underwent a biopsy. The average time for full recovery in 14 of our patients who had compliant follow-ups was 9.24 weeks. GRBAS score improved from 9 to 5.93(p < 0.0001). Self-reported voice outcomes improved in all patients except for one patient who had a biopsy. IUL is uncommon but not rare in the Indian population. It shows full recovery with conservative management that involves at least more than 3–4 weeks.

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Acknowledgements

This paper was presented at the AOI National conference 2023, Jaipur.

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Authors and Affiliations

  1. Manipal Hospital Yeshwanthpur, Bengaluru, 560055, India

    M. K. Manjunath & T. M. Sreenivasa Murthy

  2. People Tree Hospital, Goraguntepalya, Bengaluru, 560022, India

    Ravi Sachidananda

  3. Sree Siddhartha Medical College, Tumkur, Karnataka, 572102, India

    R. Jyothi Swarup

  4. ENT, People Tree Hospital, Goraguntepalya, Bengaluru, 560022, India

    Nithya Venkataramani

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  1. M. K. Manjunath
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  2. Ravi Sachidananda
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  3. T. M. Sreenivasa Murthy
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  4. R. Jyothi Swarup
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  5. Nithya Venkataramani
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Correspondence to M. K. Manjunath.

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Manjunath, M.K., Sachidananda, R., Sreenivasa Murthy, T.M. et al. Idiopathic Ulcerative Laryngitis (IUL): An Indian Perspective. Indian J Otolaryngol Head Neck Surg 75, 2217–2221 (2023). https://doi.org/10.1007/s12070-023-03833-y

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  • DOI: https://doi.org/10.1007/s12070-023-03833-y

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