Aettiiollogy off Hoarrseness iin Pattiientts above 40 Yearrs off Age (Across Secttiionall Sttudy)

Abstract

Objectives: this study is designed to determine the most common causes of  hoarseness in patients above 40 years of age and the relationship between hoarseness causes and its duration.

Patient and Methods: the study is cross sectional study. It considers 80 patients with hoarseness who were assessed between april 2011 and December 2011 at E.N.T. outpatient clinic ;department of otolaryngology in AL Diwaniya Teaching hospitalIn AL Diwaniya city. Ira

Results :out of the 80 patients ,57 had hoarseness because of non-neoplastic causes giving an incidence of 71,25% (infective laryngitis n= 23,28.75% ,acid laryngitis n =17,21.25%, allergic laryngitis n =13,16.25,%, vocal cord palsy n =2, 2.5,%, psychogenic n =2,2.5%, ) while hoarseness occured in the remaining 23 patients as aresult of neoplastic causes, giving an incidence of 28, 75% (laryngea carcinoma n = 12, 15 % vocal cord polyp n =6, 7.5 %,voca c. nodule n = 3, 375%,laryngeal cyst n =1 1. 25% granuoma n = 1,1.25%, benign tumor n = 00 %) we also found that hoarse patients for aduration of more than one month were; likely to have aneoplastc cause more than non-neoplastic cause Conclusionsthe incidence of non neoplaic causes of hoarseness in patents more than 40 year d are more common han neoplastic causes. Moreover hoarse patients who have alonger duraton of hoarseness have amore chance to have neoplasic cause than non- neoplastic cause