Background: Hoarseness of voice is a common
symptom presentation in the Department of ENT.
The etiology ranges from benign to malignant
causes. Video nasopharyngolaryngoscopy is an
effective method of evaluation of the laryngeal
pathologies. The aim of the study was to study the
different etiological factors of hoarseness of voice
presenting in the Department of ENT at Western
Regional Hospital, Pokhara.

Materials and Methods: A retrospective
observational longitudinal study was done in the
Department of ENT, Western Regional Hospital
after approval from IRC, Pokhara Academy of
Health Science. A total of 275 patients presenting
to the ENT Department with hoarseness of more
than two weeks duration were examined with video
nasopharyngolaryngoscopy (NPL) from April 2018
to March 2019. The data were electronically entered
and analyzed with SPSS Version 21.

Results: Total number of cases were 275 among
which 187 (68%) were females whereas 88 (32%)
were males. Vocal cord nodules were observed in
107 patients (38.9%), features of laryngopharyngeal
reflux were observed in 54 patients (19.6%)
muscle tension dysphonia was seen in 49 (17.8 %
), vocal cord polyp in 6 patients (2.2%), left vocal
cord palsy in 7 patients ( 2.5%), right sided vocal
cord palsy in 2 patients (0.7%). The hemorrhagic
polyp, leucoplakia and ventricular dysphonia were
observed in 3 patients each.

Conclusion: Since causes of hoarseness of voice
range from simple benign diseases to malignant
diseases, it is mandatory to evaluate every cases
of hoarseness of voice replace with of more than
2 weeks duration with history, videolaryngoscopic
examination and investigations.


Keywords: Hoarseness, Video Laryngoscopy, Vocal Nodule