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HoarsenessAka: Laryngitis
- Pathophysiology
- Abnormal voice production: breathiness or harshness
- Lack of smooth vocal cord approximation
- Laryngeal pathology
- Abnormal vocal cord mobility
- Usually caused by organic disorder (not functional)
- Causes
- See Hoarseness Causes
- History
- See Hoarseness History
- Examination
- Laryngeal Examination
- Management
- Evaluate and treat specific causes
- See Acute Laryngitis
- See Chronic Laryngitis
- Temporary voice restoration prior to performance
- Indications
- Professional singer or speaker and
- Vocal fold edema present by nasolaryngoscopy
- Contraindications
- Vocal fold hemorrhage, abrasion by nasolaryngoscopy
- Preparations (not FDA approved)
- Voice rest is preferred
- Results in faster healing time
- Prednisone 40 mg PO given 4 hours prior to event
- Corticosteroids do not decrease healing time
- Afrin sprayed directly on larynx
- References
- Woodson in Rakel (2003) Conn's Therapy, p. 210
- Postma in Cummings (1998) Otolaryngology, p. 2064
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| Definition (MSH) | An unnaturally deep or rough quality of voice. |
| Concepts | Sign or Symptom (T184)
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| ICD9 | 784.49 |
| English | Croaky voice, Hoarse, Hoarse voice, Hoarse voice quality, Hoarseness, Hoarseness of Voice, Hoarseness symptom, Hoarsenesses, Husky voice, VOICE HOARSENESS |
| Spanish | carraspera, voz ronca |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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| 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. |
| Concepts | Disease or Syndrome (T047)
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| ICD9 | 464.0 |
| English | Laryngitides, Laryngitis |
| Spanish | laringitis |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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