hoarness of voice detailed very very by uday kiran

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1. Hoarseness of voice Presented By: Uday Moderated by: Dr Arvind sangavi

2. Diagnosis Hoarseness of acute onset with duration of less than 14 days and an apparent benign cause requires no further initial evaluation Laryngoscopy should be performed if serious pathology is suspected, or it can be considered if dysphonia persists longer than 2 weeks,

3. Visualization by direct and indirect Methods should not be delayed beyond 3 months for patients who remain symptomatic Especially with patients with risk factors for dysplasia for example tobacco use, excessive alcohol use or hemoptysis

4. It includes identification and treatment of any underlying conditions, vocal hygiene, voice therapy, and specific treatment of vocal cord lesions Voice rest, especially the avoidance of whispering, is essential for the treatment of hoarseness Management

5. Neither antibiotics nor corticosteroids should be routinely prescribed empirically A three to four month regimen of high-dose proton pump inhibitors only to be prescribed only if the history indicates GERD or LPR, or if signs of chronic laryngitis are visualized.

6. Inhaled corticosteroids, notably fluticasone, budesonide and beclomethasone , can cause dysphonia in upto 58% of persons, more so in women(3:2 ratio) and individuals older than 65 years

7. Gargling, rinsing the mouth, or drinking water, as well as using a spacer, may be tried if dysphonia develops and the corticosteroids can be discontinued or given at a reduced dosage if the hoarseness fails to resolve with these simple measures

8. Voice therapy or voice training is strongly recommended for patients with hoarseness who have significantly impaired vocce quality of life, especially those with dysphonia of nonorganic origins, benign vocal fold lesion, or age-related vocal atrophy

9. It can also be preventive in high-risk individuals such as vocalists and public speakers Compliance with vocal hygiene (e.g., avoiding irritants and alcohol, using a humidifier, controlling vocal volume, limiting large or spicy meals), vocal and physical exercises, and behaviour change are imperative.

10. Thank you