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ABSTRACT
| Video Laryngoscopy and Histological Diagnosis of Patients with Hoarseness in a Sahel Region of Nigeria |
| Foluso M. Adeyeye¹, Kufre R. Iseh¹, Mohammed Abdullahi¹, Sadiku M. Sahabi² |
| Background: Hoarseness is a voice disorder that occurs because of pathological changes in the larynx, with a significant impact on the patient's quality of life. This study aims to determine the laryngeal endoscopic findings of patients presenting with hoarseness and the histological diagnosis (where available). Methods: The study was a prospective and hospital-based study carried out at the Usmanu Danfodiyo University Teaching Hospital, Sokoto, a Sahel region in Nigeria. Ninety-five patients who met the inclusion criteria had video laryngoscopic examination and those with laryngeal masses subsequently had rigid direct laryngoscopy and biopsy of the laryngeal masses under general anaesthesia. The biopsied lesions were sent for histological examination. Data were entered into Statistical Package for Scientific Solution (SPSS) version 20.0 and analyzed using descriptive statistics such as frequency. Results: Laryngeal endoscopy revealed that laryngeal masses 13 (13.7%), palsy 11 (11.6%) and nodules 10 (10.5%) were the most common findings on the vocal cord. There were 30 patients available for direct laryngoscopy and biopsies. Out of this, 11 (36.7%) had laryngeal squamous cell carcinoma and 9 (30.0%) had papilloma as the histological diagnosis. Conclusion: The most frequent findings of laryngeal endoscopy were vocal cord paralysis, nodules, laryngeal mass, and polyps. The two most common histological findings in patients who gave their consent for biopsy were squamous cell carcinoma of the larynx and laryngeal papilloma. When hoarseness lasts longer than two weeks, all patients should have a laryngeal endoscopy. It facilitates the prompt identification of the underlying cause of hoarseness and the directing of suitable and efficient therapy. |
| 10.51658/ABMS.202441.12 |
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