A Comprehensive Study on the Management of Benign Lesions of the Larynx

Abstract

Background: Benign lesions of the larynx present a significant challenge in otolaryngology practice. This study aims to investigate various management strategies for benign laryngeal lesions, including both non- neoplastic and neoplastic cases. A total of 40 patients with benign laryngeal lesions were enrolled in the study. Each case underwent a comprehensive examination, including direct laryngoscopy, fiberoptic laryngoscopy, and microlaryngeal examination when necessary. Treatment options for non-neoplastic lesions included voice rest, laser therapy, or excision biopsy, while benign neoplastic tumors were monitored with regular x-rays and direct laryngoscopic examinations. The outcomes of different management approaches were evaluated, with a focus on symptom improvement, lesion regression, and patient satisfaction.

Results: It was observed that the largest prevalence occurred in individuals aged 32-45, with a preponderance of male involvement. The most frequent benign lesion of the larynx was a bilateral vocal cord nodule; other lesions included bilateral and unilateral vocal cord polyps and Reinke's edema. Vocal abuse was the most significant risk factor in each case. According to the diagnosis, patients received speech therapy, medical management, and MLS treatment; they also had a six-month follow-up period. The following patients had normal results at follow-up: 41.18% with bilateral vocal cord nodules, 50% with bilateral vocal cord polyp, 50% with right vocal cord nodules, 75% with left vocal cord polyp, 42.86% with right vocal cord polyp, and 100% with Reinke's edema.

Conclusion: Effective management of benign lesions of the larynx requires a tailored approach based on the specific characteristics of the lesion and the individual patient. Conservative measures such as voice rest and laser therapy are effective in treating non-neoplastic lesions, while surgical intervention may be necessary in selected cases. Regular surveillance is essential for monitoring benign neoplastic tumors and preventing potential complications. Further research is warranted to evaluate long-term outcomes and refine treatment algorithms for benign laryngeal lesions.

Keywords: Benign lesions of larynx, Micro laryngeal surgery, Speech therapy, Stroboscopy, Hoarseness and Video laryngoscopy