Hoarseness of voice occurs due to lesions of the vocal cord.
For hoarseness of voice to occur, the movements of the vocal cord should be affected. There may be some mass on vocal cords, or due to tension of the vocal cords.
In hoarseness of voice the voice become rough, and unpleasant,
The voice may be muffled if there is a mass on vocal cord. In such case, the person speaks as if he has a hot potato in his mouth, which is neither being swallowed nor being spat out.
In paralysis of vocal cord, the air escapes between the paralyzed vocal cords and the voice become a breathy voice.
Causes of hoarseness of voice
Hoarseness may be congenital due to congenital cyst and tumours in the larynx.
Hoarseness may be also due to -
1-Over use or misuse of voice as in continuous speech or loud speech. This is the common cause of hoarseness. Moreover, singing in an improper manner and excessive coughing will cause hoarseness. It is due to injury of the vocal cord.
2-External injuries like contusion injuries to the larynx, or cut throat, etc.
Irradiation may damage the vocal cords.
3-Common cold may cause hoarseness. It is due to bacterial or viral infection causing laryngitis. It is the commonest cause of hoarseness.
4-Membrane formation on vocal cord in diphtheria produces hoarseness.
5-Chronic laryngitis also is the main cause of hoarseness of voice.
6-Benign tumors like cyst, chondroma, and fibroma also cause hoarseness, but rare.
7-Singer’s nodes are the common cause of hoarseness of voice. It is characterized by the formation of nodule on the edges of both vocal cords.
8-Laryngeal oedema due to -
Infection
Trauma
Allergy
Neoplasm
Laryngeal polyp causes hoarseness.
Paralysis of recurrent laryngeal nerve may cause hoarseness.
Investigations
Thyroid function test
X ray larynx
C T scan
Laryngoscopy
Treatment
General treatment
Voice rest-avoid misuse and overuse of voice.
Steam inhalation.
Speech therapy is also effective.
Homeopathic treatment
Along with general treatment as mentioned above, homeopathic medicines like Thuja, Calc carb, Calc flour, Arg met, Causticum etc. is the main remedies.
The treatment is based upon the cause, as well as the time of aggravation of hoarseness. And depending up on these and also the miasmatic background, the remedy is selected. And prognosis is very good, and in the majority of cases complete cures without recurrence.
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