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Objectives: To determine the etiology of hoarseness, a careful directed approach for its diagnosis and early
Material and Methods: This descriptive study was carried out at the department of ENT Khyber Teaching Hospital,
Peshawar, Pakistan from January 2008 to December 2009. A total of 100 patients presenting for the first time with
hoarseness were included in the study.
Results: Infection (42%) was the commonest cause of hoarseness in our study followed by benign lesions (25%) and
malignant lesions (13%). Five percent of the cases of hoarseness were due to vocal cord paralysis. In 12% of cases
hoarseness was found to be of non organic type. Three percent of cases were due to trauma.
Conclusion: Hoarseness of voice is just a symptom and not a diagnosis and every case should be carefully and
thoroughly investigated for the underlying cause.
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