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Year : 2022  |  Volume : 12  |  Issue : 2  |  Page : 12-16

Fibreoptic laryngoscopic assessment of patients with hoarseness: A cross-sectional analysis

1 Department of Otorhinolaryngology, Head & Neck Surgery, Abubakar Tafawa Balewa University Teaching Hospital/Abubakar Tafawa Balewa University Bauchi, Yelwa, Nigeria
2 Department of Otorhinolaryngology, Aminu Kano Teaching Hospital/Bayero University, Kano, Nigeria
3 Department of Otorhinolaryngology, Federal Medical Centre Yola/College of Medicine Modibbo Adama University, Yola, Nigeria
4 Department of Surgery, Division of Otorhinolaryngology, Faculty of Clinical Sciences, Ahmadu Bello University, Zaria/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
5 Department of Otorhinolaryngology, University College Hospital Ibadan/College of Medicine, University of Ibadan, Ibadan, Nigeria

Correspondence Address:
Dr. Auwal Adamu
Department of Otorhinolaryngology, Head & Neck Surgery, Abubakar Tafawa Balewa University Teaching Hospital/Abubakar Tafawa Balewa University Bauchi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jwas.jwas_75_22

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Background: Hoarseness is a common clinical manifestation of laryngeal diseases. The cause of hoarseness may not always be a simple inflammatory disease, but it can be from other serious life-threatening conditions such as laryngeal cancer, for which a delay in diagnosis of such condition may compromise treatment, resulting in poor prognosis and a decreased survival rate. Against this background, we evaluated the causes of hoarseness using fibreoptic laryngoscopy in our environment. Materials and Methods: This was a cross-sectional study of patients with hoarseness attending ENT clinic of our institution. Ethical clearance and consent were obtained. A questionnaire was used to collect relevant clinical data, fibreoptic laryngoscopy was carried out, and the data was analysed using the Statistical Products and Service Solution version 20.0. Results: The study recruited 90 patients with hoarseness. The age of the patients ranged between 18 and 70 years with a mean of 40.1 ± 14.8 years. There were 51 (56.7%) males and 39 (43.3%) females. About 46 (51.2%) of the patients had intermittent hoarseness, whereas 44 (48.8%) had persistent hoarseness. Most of the patients, 49 (54.4%), had hoarseness for less than 6 months before presentation. The fibreoptic laryngoscopic findings were non-specific laryngitis 49 (54.5%), laryngeal tumor 20 (22.2%), vocal cord polyp 7 (7.7%), laryngeal papilloma 6 (6.7%), vocal cord palsy 5 (5.6%), and others 3 (3.3%). Conclusion: Laryngeal tumour constituted a significant percentage of fibreoptic laryngoscopic findings in patients with hoarseness after nonspecific laryngitis. Therefore, fibreoptic laryngoscopy is recommended for all patients with hoarseness in order to detect sinister pathology early.

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