A CLINICOETIOLOGICAL STUDY OF VOCAL CORD PARALYSIS :  PROSPECTIVE STUDY

Dr.LAVANYA DUGGINENI; Dr.K.KISHORE; Dr.A.SESHA PRASAD

Volume : VII, Issue : VII, July - 2017

A CLINICOETIOLOGICAL STUDY OF VOCAL CORD PARALYSIS : PROSPECTIVE STUDY

Dr. Lavanya Duggineni, Dr. K. Kishore, Dr. A. Sesha Prasad

Abstract :

INTRODUCTION : Vocal cord paralysis(VCP) can affect any age group. Males are more affected than females. Left vocal cord is more often affected than right due to its lengthy and tortuous course. The cases where the cause cannot be established with full workup as mentioned in materials and methods are included in the Idiopathic group. The most common symptom is Hoarseness of voice. The purpose of this study is to determine incidence of various etiologies of VCP and their clinical presentations. METHODS: In a Prospective study,30 patients of vocal cord paralysis were examined by clinical ENT examination, tests such as examination of the larynx as mirror examination, endoscopy, Direct Laryngoscopy, esophagus, lung, Thyroid, mediastinum ,heart and ain evaluated clinically and by diagnostic imaging to investigate the cause of vocal cord paralysis.The cases where the cause cannot be established with full work up are included in the Idiopathic group. RESULTS: The main presenting complaint was hoarseness of voice in 86.66%.Left sided paralysis is about 83.33%,right side is 13.33% and bilateral is 3.33%.The main causes were Idiopathic 23.33% ,Neoplastic 23.33% in our study. CONCLUSION: The main causes for VCP are Idiopathic and Neoplasms.Full work up of the patient need to be done before labeling it as idiopathic and mainly malignancy needs to be ruled out.