Hoarsness

Question 1

The following ruleouts diagnoses are examples of what type of VC (vocal cord) involvement?

URI - current or recent
Chronic inflamation
Allergy
Excessive voice use
Malignancy
Papillomata, polyps, granulation tissue
VC dysfunction

Answer 1

Direct VC Involvement

Question 2

The following ruleouts are associated with what type of VC involvement?

Contiguous infection
Contiguous inflammatory disease
Lymphadenopathy
Malignancy
Thyroid disease

Answer 2

Indirect VC Involvement

Question 3

What are some differential diagnoses for hoarseness that involve the chest?

Answer 3

1. Bronchial malignancy
2. Mediastinal mass or malignancy
3. Tuberculosis
4. Aortic arch aneurysm
5. Right subclavian artery disease

Question 4

damage to which nerve in the neck could be associated with hoarseness?

Answer 4

RLN

recurrent larangeal nervce

Question 5

Does the cricoarytenoid joint play a role in hoarseness?

Answer 5

yes.

Could be caused by:

» Dislocation
» Chronic arthritis
» Gout
» Inflammation (acute arthritis)
» Injury

Question 6

Hoarseness exceeding _____ weeks’ duration
requires otolaryngologic workup.

Answer 6

2

Question 7

what is true of routine postop hoarseness?

Answer 7

– Cite incidence: 3 %
– Explain spontaneous resolution: 1 - 3 days
– Followup at one week.
– RTC if not resolved or resolving at one week.
– Explanations: ETT, NGT, head-neck surgery,
patient movement

Question 8

What postop pathophysiology for hoarseness is this?

Answer 8

ulceration

Question 9

What postop pathophysiology for hoarseness is this?

Answer 9

granuloma formation

onset 3-21 days

Question 10

what postop pathophysiology for hoarseness is this?

Answer 10

Cicatricial stenosis

onsets: 2 + weeks