Incidence and Outcome of Vocal Cord Polyp: An Endoscopic Experience and Perception

Abstract

Background: The larynx is an intrinsic organ of the body which has to perform very composite function like protection, respiration, phonation. To carry out the function larynx should be adaptable and flexible. Any structural disorder like vocal cord polyp alter these specialized function, and squander the laryngeal pacing, and  increasing voice discomfort of the patient like hoarseness, dysphonia and odynophagia day by day. Phonosurgery is the mainstay of treatment. Methods: It is a cohort retrospective study of 54 cases in the Department of Otolaryngology and Head-Neck Surgery, Comilla Medical College, Bangladesh from 20 February 2017 to 27 October 2019. Result: Incidence of vocal cord polyp in laryngeal disorder patient was 6.83% and laryngeal  operative patient was 28.27%. All patients were treated by microlaryngeal surgery with rigid Hopkin’s laryngeal telescope and setback was 2 (3.70%). Of them, male were 41(75.92%), females were 13(24.08%), below 20 years were 2(3.70%), 20-50years 39(72.23%) and above 50years 13(24.07%), unilateral was 50(92.59%) and 4(7.41%) were bilateral, smoker were 41(75.92%), nonsmoker 13(24.08%), industrial workers were 21(38.89%), professional voice user were 13(24.07%). The patient’s symptoms were divided 3 categories rely on an auditory-perceptual evaluation method GRBAS (Grade of hoarseness: Roughness, Breathiness, Asthenia and Strain) slight degree was 34(62.96%), medium 13(24.08%), and high 7(12.96%). There is another group of people reflux related disease RSI (Reflux symptom index) was 21(38.89%). Conclusion: Multidimensional assessment and multi-professional team approach towards the treatment of patient may fulfill the patient vocal requirement.