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Hoarseness Carcinoma of Larynx

Hoarseness Carcinoma of Larynx. Cause. Infection Benign vocal cord lesion Neoplasm Vocal cord palsy Functional. Carcinoma of Larynx. Hoarseness can be the only symptom Neck node and other symptom e.g. swallowing difficulty, SOB are late sign. What you need to know. When to refer.

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Hoarseness Carcinoma of Larynx

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  1. HoarsenessCarcinoma of Larynx

  2. Cause • Infection • Benign vocal cord lesion • Neoplasm • Vocal cord palsy • Functional

  3. Carcinoma of Larynx • Hoarseness can be the only symptom • Neck node and other symptom e.g. swallowing difficulty, SOB are late sign

  4. What you need to know • When to refer

  5. When to refer - Early • Old age • Male • Smoker • Persistent symptom

  6. Infection • Acute – viral • Chronic- specific e.g. TB, syphilis

  7. Benign vocal cord lesion • Vocal cord nodule • Vocal cord polyp • Reinke’s edema • Different morphology • Similar histology and aetiology

  8. Benign Vocal cord lesion • Aetiology- voice abuse • Conservative treatment voice rest, speech therapy • Surgical treatment Laryngoscopy + excision

  9. Vocal cord palsy • Unilateral vs Bilateral • Adductor palsy • Abductor palsy

  10. Vocal cord palsy • Unilateral Abductor – mild dysphonia • Bilateral Abductor – upper airway obstruction • Unilateral Adductor - Hoarsness & Aspiration • Bilateral Adductor palsy

  11. Treatment • Abductor palsy- tracheostomy, arytenoidectomy • Adductor palsy- Cord injection, Thyroplasty • Cord injection- telfon, fat, collagen

  12. Neoplasm of larynx • Benign- Human respiratory papillomatosis • Malignant

  13. Carcinoma of larynx • Anatomy • Aetiology – smoking • Symptoms

  14. Carcinoma of larynx • Surgery - Laryngectomy Neck dissection endoscopic laser excision • Radiotherapy • Chemo-irradiation- organ preservation

  15. Post-laryngectomy • Stoma • Voice rehabilitation

  16. Hoarseness Can be the only early sign of carcinoma of larynx Early ENT referral for suspicious case

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