Hoarseness

You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.

Name of Symptom/Sign:
Dysphonia
Classifications and external resources

ICD-10	R49.
ICD-9	784.49

WikiDoc Resources for Hoarseness
Articles
Most recent articles on Hoarseness Most cited articles on Hoarseness Review articles on Hoarseness Articles on Hoarseness in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Hoarseness Images of Hoarseness Photos of Hoarseness Podcasts & MP3s on Hoarseness Videos on Hoarseness
Evidence Based Medicine
Cochrane Collaboration on Hoarseness Bandolier on Hoarseness TRIP on Hoarseness
Clinical Trials
Ongoing Trials on Hoarseness at Clinical Trials.gov Trial results on Hoarseness Clinical Trials on Hoarseness at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Hoarseness NICE Guidance on Hoarseness NHS PRODIGY Guidance FDA on Hoarseness CDC on Hoarseness
Books
Books on Hoarseness
News
Hoarseness in the news Be alerted to news on Hoarseness News trends on Hoarseness
Commentary
Blogs on Hoarseness
Definitions
Definitions of Hoarseness
Patient Resources / Community
Patient resources on Hoarseness Discussion groups on Hoarseness Patient Handouts on Hoarseness Directions to Hospitals Treating Hoarseness Risk calculators and risk factors for Hoarseness
Healthcare Provider Resources
Symptoms of Hoarseness Causes & Risk Factors for Hoarseness Diagnostic studies for Hoarseness Treatment of Hoarseness
Continuing Medical Education (CME)
CME Programs on Hoarseness
International
Hoarseness en Espanol Hoarseness en Francais
Businness
Hoarseness in the Marketplace Patents on Hoarseness
Experimental / Informatics
List of terms related to Hoarseness

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-525-6884

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Dysphonia is the medical term for hoarseness or other phonation disorders. It is considered much less severe than aphonia. Hoarseness can be a change in pitch, a rough sound of the voice, or an increased effort in speaking.

• Acute hoarseness has a sudden onset and lasts fewer than 2 weeks
• Chronic hoarseness lasts longer than 2 weeks

Classificaiton of Dysphonia

• Organic dysphonia
• Functional dysphonia
• Spasmodic dysphonia

Differential Diagnosis

Acute

• Acute viral laryngitis
• Aortic aneurysm
• Aortic dissection
• Anaphylaxis
• Bacterial tracheitis / laryngitis
• Cerebrovascular accident (CVA)
• Chorditis
• Croup
• Deep space face and neck infection
• Epiglottitis
• Foreign body
• Head injury
• Laryngitis
• Laryngotracheobronchitis
• Overstress of vocal cords (speaking, shouting, singing, crying)
• Sinusitis
• Smoke irritation
• Surgery
• Trauma
• Upper Respiratory Infection

Chronic

• Aging
• Allergic Rhinitis
• Amyloidosis
• Amyotrophic Lateral Sclerosis
• Aortic aneurysm
• Bronchial carcinoma
• Bronchogenic tumor
• Chondromas
• Chronic cough, severe cold
• Chronic inhalation of chemical irritant agents (professional activity)
• Chronic sinusitis
• Drugs
• Edema of vocal cords
• Esophageal tumor
• Excessively dry and warm room coupled with low water intake
• Foreign body
• Gastroesophageal Reflux Disease (GERD)
• Glomus jugulare tumor
• Guillain-Barre Syndrome
• Habitual aphonia
• Hemangioma
• Hemorrhage into vocal folds
• Hypothyroidism
• Juvenile dermatomyositis
• Laryngeal papillomatosis
• Laryngocelesventricular prolapse
• Laryngeal carcinoma
• Left atrial enlargement
• Lipoma
• Lung cancer
• Menopause
• Multiple Sclerosis
• Muscular Dystrophy
• Myasthenia Gravis
• Neural tumor
• Neurofibroma
• Papillomas
• Parkinson's Disease
• Postsurgical
• Psychogenic aphonia
• Puberty
• Reinke's Edema
• Retention cysts
• Rheumatoid Arthritis
• Sarcoidosis
• Spastic dysphonia
• Squamous Cell Carcinoma
• Systemic Lupus Erythematosus
• Thyroid tumor
• Ventricular dysphonias
• Virilization
• Vocal cord nodules
• Vocal fold cyst
• Vocal cord paralysis
• Vocal cord polyps
• Wegener's Granulotomosis

Diagnosis

History and Symptoms

The following should be characterized as part of a full history:

• Onset
• Duration
• Prior history
• Exposure
• Medications
• Voice use
• Associated symptoms
• Medical history
• Surgical history
• Trauma

Physical Examination

• Focus on neck, head, lung, thyroid and cardiac exams
• Evaluate voice quality

Laboratory Findings

• Thyroid function tests to rule out hypothyroidism

X-Ray

• Chest X-ray
• Lateral neck X-ray

MRI and CT

• CT scan of sinuses
• CT scan of head and neck

Other Diagnostic Studies

• Upper gastrointestinal (GI) endoscopy
• Direct or fiber optic nasolaryngoscopy
• Biopsy

Treatment

• Airway, breathing and circulation
• Voice rest
• Diet modification (GERD)
• Stop smoking
• Wear protective clothing or masks (if hoarseness is due to exposure)
• Treat underlying etiologies
• Voice therapy

Pharmacotherapy

Acute Pharmacotherapies

• Antibiotics
• Oral steroids
• H2 blockers
• Proton pump inhibitors
• Intranasal steroids
• Antihistamines

Surgery and Device Based Therapy

• Surgical intervention for abscesses, masses
• Cricothyrotomy or tracheostomy (to establish airway)

See also

• Dysphasia

External links

• VoiceInfo.org
• Pediatric ENT
• WrongDiagnosis
• Marshall
• NetDoctor
• [3]
• Systems Analysis, Modelling and Prediction Group, University of Oxford develops novel signal analysis techniques for the detection and characterisation of voice disorders.

References

Acknowledgements

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [4] Phone:617-525-6884

List of contributors:

---

Suggested Reading and Key General References

Suggested Links and Web Resources

For Patients

v • d • e Symptoms and signs: Speech and voice (R47-R49, 784)
Aphasia/Dysphasia	Expressive aphasia - Receptive aphasia - Conduction aphasia
Other speech disturbances	Dysarthria - Schizophasia
Symbolic dysfunctions	Dyslexia - Alexia - Agnosia (Prosopagnosia) - Apraxia - Acalculia - Agraphia
Voice disturbances	Dysphonia - Aphonia

de:Dysphonie he:צרידות yi:הייזעריג

v • d • e WikiDoc Research Resources for Hoarseness (Click show to right to view)
Articles on Hoarseness	Most recent articles on Hoarseness • Most cited articles on Hoarseness • Review articles on Hoarseness • Articles on Hoarseness in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Hoarseness	Powerpoint slides on Hoarseness • Images of Hoarseness • Photos of Hoarseness • Podcasts & MP3s on Hoarseness • Videos on Hoarseness
Evidence Based Medicine Regarding Hoarseness	Cochrane Collaboration on Hoarseness • Bandolier on Hoarseness • TRIP on Hoarseness
Cost Effectiveness of Hoarseness	Cost Effectiveness of Hoarseness
Clinical Trials Involving Hoarseness	Ongoing Trials on Hoarseness at Clinical Trials.gov • Trial results on Hoarseness • Clinical Trials on Hoarseness at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Hoarseness	US National Guidelines Clearinghouse on Hoarseness • NICE Guidance on Hoarseness • NHS PRODIGY Guidance • FDA on Hoarseness • CDC on Hoarseness
Textbook Information on Hoarseness	Books and Textbook Information on Hoarseness
Pharmacology Resources on Hoarseness	Dosing of Hoarseness • Drug interactions with Hoarseness • Side effects of Hoarseness • Allergic reactions to Hoarseness • Overdose information on Hoarseness • Carcinogenicity information on Hoarseness • Hoarseness in pregnancy • Pharmacokinetics of Hoarseness •
Genetics, Pharmacogenomics, and Proteinomics of Hoarseness	Genetics of Hoarseness • Pharmacogenomics of Hoarseness • Proteomics of Hoarseness
Newstories on Hoarseness	Hoarseness in the news • Be alerted to news on Hoarseness • News trends on Hoarseness
Commentary on Hoarseness	Blogs on Hoarseness
Patient Resources on Hoarseness	Patient resources on Hoarseness • Discussion groups on Hoarseness • Patient Handouts on Hoarseness • Directions to Hospitals Treating Hoarseness • Risk calculators and risk factors for Hoarseness
Healthcare Provider Resources on Hoarseness	Symptoms of Hoarseness • Causes & Risk Factors for Hoarseness • Diagnostic studies for Hoarseness • Treatment of Hoarseness
Continuing Medical Education (CME) Programs on Hoarseness	CME Programs on Hoarseness
International Resources on Hoarseness	Hoarseness en Espanol • Hoarseness en Francais
Business Resources on Hoarseness	Hoarseness in the Marketplace • Patents on Hoarseness
Informatics Resources on Hoarseness	List of terms related to Hoarseness

WikiDoc Help Menu Quick Start.. Get Started Here! How to Login How to Search Pages How to Start a New Page How to Edit a Page Cheat Sheet Editing basics Learning Basic Formatting How to make Links in WikiDoc & to External Sites How to Make Lists How to Ignoring Formatting Adding References or Footnotes to Articles Tracking Changes You Have Made How to Put an Article Into a Category When Multiple Topics Should Go To The Same Page (MI, Acute MI, AMI) Using Redirection Advanced editing How to Make Tables How to Insert Images and Other Media How to Add Video Help:How to Make Columns Web Colors How To Make Templates How to Move Pages Inserting Dynamic Dates and Times Inserting WikiDoc Statistics Editing the Table of Contents Communicating your edits Let others know what you changed: The importance of Edit Summaries Minor Edits Edit Conflicts Help Videos You Can Watch Getting Started Video

Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .