Dr. Sudeepti Saran, Dr. Vikram Singh Rathore, Dr. Nabil Sindhi and Dr. Sunita Meena
Background: Upper airway complains are commonly encountered by ENT surgeon, nasopharyngolaryngoscopy is a very simple opd procedure to diagnose the hidden area of the nasopharynx, and early detection of pre-malignant lesions.
Method: This prospective cohort study held in ENT OPD in Pacific institute of medical sciences, umarda, Udaipur, with 200 patients of upper airway complains during the period of march 2021 to march 2022. Study subjects were evaluated by history, general and local ENT examinations then underwent NPL procedure in ENT OPD. Data were recorded and analysed.
Results: Out of total 200 participants 118(59%) were male and 82(41%) were female. The most common age group were between 18-40 year (108, 54%), 61-81 (51, 25%) and 41-60 (41, 20.5%). Common symptoms among the participants were changes of voice (CV)12%, hoarseness of voice (HV) 10.5%, foreign body sensation throat (FBT) 16%, difficulty in swallowing (DS) 14%, irritation throat (IT) 14%, lump throat (LP) 11.5%, weakness of voice (WV) 9.5% and 13% had multiple complains 13%, 1 (0.5%) complain of aphonia.
On NPL examination most common finding were growth larynx 51(25.5%), followed by normal 38 (19%) and GERD 25 (12.5%), vocal cord pathology were 20 (10%), Laryngopharyngeal reflux 15 (7.5%). Vocal cord odema 13 (6.5%). Phonatory gap 12 (6%), secretion pyriform fossa 10(5%), growth pyriform fossa 10(5%) respectively.
Conclusion: In the study it was found the growth larynx 51(25.5%) in patient with C/O change in voice, difficulty in swallowing, hoarseness of voice, followed by normal 38(19%) with C/O difficulty in swallowing, irritation in throat, lump in throat, were disease of larynx and pharynx found at early stage and help provide patient satisfaction.
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