IJIMS.2015.136

Type of Article: Original Research

Volume 2; Issue 12: December 2015

Page No.: 200-205

DOI: 10.16965/ijims.2015.136

 

Clinicopathological Study of Non-Neoplastic and Neoplastic Lesions of Larynx 

Chaitanya V 1,  Nikethan B *2.

1 Assistant Professor, Department of Otorhinolaryngology, JJM Medical College, Davangere, Karnataka, India.

*2 Assistant Professor, Department of Pathology, JJM Medical College, Davangere, Karnataka, India.

CORRESPONDING AUTHOR ADDRESS: Dr. Nikethan B, Assistant Professor, Department of Pathology, JJM Medical College, Davangere, Karnataka, India.  E-Mail:  nikethanbathi@gmail.com

ABSTRACT

Background: The laryngeal lesions are significant because of the human communication through voice and contribution of voice to the identity of the person. Lesions of  the larynx are classified into the commonly occurring non-neoplastic lesions and relatively neoplastic lesions.  The aim of this study was to describe the clinical features of patients with non-neoplastic and neoplastic lesions of the larynx,and pathological findings of patients with this lesions.

Material and Methods: This prospective study was conducted in 80 patients who were diagnosed with various lesions of larynx during a period of three year. After a detailed history, general physical and systemic examination, complete nasal and paranasal examination, examination of ears, patients were subjected for examination of larynx which included external examination of larynx, indirect laryngoscopy under general anesthesia.

Results: The incidence was found to be 30-40 (36.6%) years followed by the 51-60 (23.3%) years. Non-neoplastic benign lesions were more common (62.5) as compared to neoplastic benign lesions (37.5%) with preponderance in males (80%) as compared to females (20%). Hoarseness of voice was the commonest presenting symptoms being present in 15-30 patients. It was observed that 15 patients (50%) were smokers, 33.3% were addicted to alcohol, 6.8% patients had history of both smoking and alcohol consumption,3.3% had  beetel nut chewing and 3.3% had history of tobacco chewing. Vocal  polyp being the commonest type seen in 33.7% of cases followed by vocal nodule(22.5%), epiglottic cyst(2.5%), chronic laryngitis(1.3%) and tubercular laryngitis(2.5%), Papilloma(10%) & Squamous cell carcinoma(27.5).

Conclusion: The symptoms of laryngeal  lesions  can vary from mild hoarseness of voice to life threatening respiratory distress. All available methods of study should be utilized to make the diagnosis as early as possible. Early diagnosis of the lesion can lead to effective management.

KEYWORDS: Larynx , Laryngeal  lesions, Clinicopathological.

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