In a patient hoarseness of voice was found to be having pachydermia laryngitis. All of the following are ture except: (DNB June 2011)
|A||It is a hyperkeratotic lesion present within the anterior 2/3rd of the vocal cords|
|B||It is not premalignant lesion|
|C||Diagnosis is made by biopsy|
|D||On microscopy it shows acanthosis and hyperkeratosis|
Ref. Dhingra Sth/ed p 311; Maqbooliith/ed pg 334; Scotts Brown 7th/ed vol-2 pg 2197
The most common site for contact ulcers is vocal processes of the arytenoid cartilage.
Contact ulcers: / Vocal process granuloma / arytenoids granuloma / intubation granuloma.
a. Nearly exclusively seen in men over the age of 30 years.
b. Commonly located over the posterior part of vocal processes of arytenoid cartilage.
c. Can be unilateral or bilateral
d. It is multifactorial in aetiology:
o Vocal abuse (most important Etiological factor) talking in a habitually low pitched crcaky, hyperfunctional manner (:. option d is correct)
o Prolonged intubation
o Esophageal dysfunction (such as gastroesophageal reflux, hiatus hernia, dysmotility).
- Low pitch quality of voice ( most prominent feature).
- Irritation and pain in larynx which worsens on phonation or coughing and it can radiate to ear.
- Voice therapy along with anti reflux medications.
- In persistant cases microlaryngeal excision may be required to confirm the diagnosis and exclude malignancy.