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HoarsenessAka: Laryngitis

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  1. Pathophysiology
    1. Abnormal voice production: breathiness or harshness
    2. Lack of smooth vocal cord approximation
      1. Laryngeal pathology
      2. Abnormal vocal cord mobility
    3. Usually caused by organic disorder (not functional)
  2. Causes
    1. See Hoarseness Causes
  3. History
    1. See Hoarseness History
  4. Examination
    1. Laryngeal Examination
  5. Management
    1. Evaluate and treat specific causes
    2. See Acute Laryngitis
    3. See Chronic Laryngitis
    4. Temporary voice restoration prior to performance
      1. Indications
        1. Professional singer or speaker and
        2. Vocal fold edema present by nasolaryngoscopy
      2. Contraindications
        1. Vocal fold hemorrhage, abrasion by nasolaryngoscopy
      3. Preparations (not FDA approved)
        1. Voice rest is preferred
          1. Results in faster healing time
        2. Prednisone 40 mg PO given 4 hours prior to event
          1. Corticosteroids do not decrease healing time
        3. Afrin sprayed directly on larynx
      4. References
        1. Woodson in Rakel (2003) Conn's Therapy, p. 210
        2. Postma in Cummings (1998) Otolaryngology, p. 2064

Hoarseness (C0019825)

Definition (MSH)An unnaturally deep or rough quality of voice.
ConceptsSign or Symptom (T184)
ICD9784.49
MSHD006685
EnglishCroaky voice, Hoarse, Hoarse voice, Hoarse voice quality, Hoarseness, Hoarseness - throat symptom, Hoarseness of Voice, Hoarseness symptom, Hoarsenesses, Husky voice, VOICE HOARSENESS
Spanishcarraspera, voz ronca
Parent ConceptsRespiration Disorders (C0035204), Signs and Symptoms, Respiratory (C0037090), Voice Disorders (C0042940), Symptoms (C1457887), Hoarseness (C0019825), Finding of quality of voice (C0566617), Voice Disturbance (C1527340), Duplicate concept (C1274013)
SourcesCOSTAR, CST, DXP, LCH, MSH, MTH, MTHICD9, NCI, NDFRT, OMIM, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Laryngitis (C0023067)

Definition (MSH)Inflammation of the larynx. This condition presents itself with dryness and soreness of the throat, difficulty in swallowing, cough, and hoarseness.
Definition (NCI)Inflammation of the larynx.
ConceptsDisease or Syndrome (T047)
ICD9464.0
MSHD007827
EnglishLaryngitides, Laryngitis
Spanishlaringitis
Parent ConceptsLaryngeal Diseases (C0023051), PULMONARY DISORDERS: GENERAL (C0549657), Respiratory Tract Infections (C0035243), Non-Neoplastic Laryngeal Disorder (C1335018), Inflammation of specific body organs (C1285331), Inflammatory disorder of upper respiratory tract (C1290887)
SourcesCOSTAR, CST, DXP, MEDLINEPLUS, MSH, MTHICD9, NCI, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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