Hoarseness is a vague term that patients often use to describe a change in voice quality ranging from voice hoarseness to voice weakness. However the term can reflect abnormalities anywhere along the vocal tract from the oral cavity to lungs. Ideally the term “Hoarseness” refers to laryngeal dysfunction caused by abnormal vocal cord vibration [1]. Bernoulli’s principle explains that when air pa...

Objective: To assess and compare the efficacy of lignocaine anesthesia of vocal cords by “spray as you go” through a bronchoscope with lignocaine injection through the cricothyroid membrane. Study Design: Quasi experimental study. Place and Duration of Study: This study was done in Combined Military Hospital Peshawar form May 2009 to June 2010. Material and Methods: Thirty patients in each grou...

A 2-month-old infant underwent excision of granulomata of vocal cords with a carbon dioxide laser. High frequency jet ventilation was given through a surgical metal suction tube during the operation. The anaesthetic technique for the infant and the problems of the use of carbon dioxide laser in laryngeal surgery are discussed.

The larynx is divided into the supraglottic, glottic and subglottic regions, each serving different functions. The false vocal cords, also known as the ventricular or vestibular folds, are two thick, sagittally oriented, individually sized mucosal duplications arising from the wall into the lumen of the supraglottic space and forming the medial wall of the laryngeal ventricle (Kutta et al., 2004).

OBJECTIVE To demonstrate the oncologic safety of transoral endoscopic laser surgery in early glottic cancers. PATIENTS The study included 107 patients with early glottic cancers. The disease was in situ in 21 (19.6%) and infiltrative in 86 (80.4%), of which 52 (48.6%) were stage T1a, 17 (15.9%) were T1b, 13 (12.1%) were T2, and 4 (3.7%) were TX lesions. One hundred three patients (96.3%) were...

Introduction: The aim of the present study was to compare the videolaryngostroboscopic findings between patients with rheumatoid arthritis and vocally healthy controls.   Materials and Methods: This case-control descriptive study was performed on 113 people, including 50 patients with rheumatoid arthritis and 63 controls. The participants were subjected to videolaryngost...

We report two contrasting and rare cases of voice hoarseness in young patients of tubercular aetiology. First case report is of isolated tubercular recurrent laryngeal nerve palsy in a patient who presented with hoarseness of voice. Chest radiograph showed a left hilar prominence and bronchial washings isolated acid-fast bacilli. Hoarseness of voice as an initial symptom due to isolated vocal c...

OBJECTIVES To assess whether Chula formula can predict the proper length of nasotracheal intubation. MATERIAL AND METHOD This was a prospective study of 100 patients (50 males and 50 females) who underwent general anesthesia with nasotracheal intubation (number 8.0 for male and 7.0 for female) between December 2005 and March 2007. The Chula formula was used to calculate the length of endotrac...

BACKGROUND Opioids, such as alfentanil, are used to facilitate endotracheal intubation without the use of neuromuscular blocking agents in patients undergoing elective surgery. OBJECTIVES The goal of this study was to evaluate the endotracheal intubation conditions when remifentanil or alfentanil was used with propofol without the application of neuromuscular blocking agents. PATIENTS AND M...