Hoarseness and Laryngeal Cancers

By | 18 April 2021

Hoarseness and Laryngeal Cancers

REASONS OF VOICE HANGERS, Hoarseness and Laryngeal Cancers

1. Acute laryngitis:

It develops suddenly. It is formed due to microbial inflammation of the vocal cord. It is treated with antibiotics, vapors, and edema dissolving drugs.

2. Chronic laryngitis:

  • It is the state of hoarseness that lasts longer than 3-4 weeks.
  • It usually occurs as a result of chemical or physical irritation on the vocal cords.
  • Chemical irritation is caused by the reflux of the stomach contents, that is, acid secretion reaching up to the mouth and reaching the vocal cords.
  • Treatment includes correction of reflux.
  • Physically, vocal cord irritation is the misuse of the voice. So talking too loudly, shouting is like crying violently …
  • Treatment includes reducing speech, never shouting, and speaking with a light tone of voice.

3.Dysphonia causes:

The inability of the vocal cords to develop sufficiently. Like the mutational falsetto. Your vocal cords are tight but cannot be fully joined. Its treatment is voice therapy.

3. Laryngeal Tumors:

Vocal cord and laryngeal tumors, cancers.

It occurs especially in people who smoke. It used to be known only as a male disease.

However, with the increase in smoking among women in recent years, it has also started to be seen in women. Still, the disease occurs in over 90% of men.

A man over middle age who smokes must have an ENT doctor perform an endoscopic examination of the vocal cord. Alcohol consumption increases the likelihood of the disease.

If you go to a doctor at the beginning of the hoarseness, it is diagnosed early.

If the disease is caught in the first stage, it can be treated with laser or radiotherapy methods without surgery.

Surgery may be required in more advanced stages. In the surgeries performed, breathing and vocal functions are tried to be preserved without removing the entire larynx tissue.

However, in the last stage of cancers, the operation called total laryngectomy is performed by removing the entire laryngeal tissue.


It is a disease seen in singers, teachers, housewives, vocational groups who use their voices loudly and frequently, and children who speak loudly.

Nodules in the vocal cords, which we call vocal cords, on the vocal cord mucosa, are in the form of more raised masses than thin small pimples.

Nodules occur as a result of the vocal cords hitting each other hard for a long time, swelling and swelling of the tissue, and the accumulation of inflammation cells.

Allergy and gastroesophageal reflux have an important role in the development of the disease. Also, nasal discharge disrupts the smooth structure of the vocal cords and prepares the ground for the disease.

Treatment: If there is allergy and reflux, it should be treated.

If there is nasal discharge, it is eliminated. In the treatment of nodules, it is recommended to reduce the use of voice, not to speak in a high pitch, and not to speak by shouting.

Voice therapy can be performed in cases that do not resolve despite these precautions.

With voice therapy, surgery is performed on nodules that do not heal and are too large to be treated.

In its operation, the nodule is removed by microscopic microsurgery technique.


Vocal therapy is performed in patients with congenital vocal cord anomalies with constant hoarseness, micronodules in the vocal cords.

Generally, the problem is the problem of the larynx above. In this situation, which we call hyper-functional sound, the larynx is tried to be taken down.

For this, the noble posture position is taken and deep breathing is taken with diaphragmatic breathing and the sound is made.

In the water blowing vox technique, 5 different exercises can be performed in the same position or 2-3 steps can be applied depending on the condition of the disease.

There are 6 steps exercises in the doctor vox technique:

  1. sostenuto
  2. Glissando
  3. Coat of Arms
  4. Legato
  5. Portato
  6. Staccato

Each exercise step is planned in a different formulation for different diseases.

For example, in unilateral vocal cord paralysis, 5 times staccato + 1 time sostenuto can be applied with a formulation.

In mutational falsetto disease, it can be applied as 1 glissando + one sostenuto.

Applications are usually done by the instructor twice a week for the first 3-4 sessions, then at home for 2-3 minutes per hour.

The therapy lasts at least 2 months. 1st and 3rd-month control therapies are done. Reading and singing to masks at home are useful practices.


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