To determine clinicopathologic profile of patients presenting with hoarseness of voice using fiber-optic laryngoscopy in Sir Ganga Ram Hospital, Lahore.

Abstract

Objective: To Determine clinicopathologic profile of patients presenting with hoarseness of voice using fiber-optic laryngoscopy in Sir Ganga Ram Hospital, Lahore. Study Design: Cross-Sectional Study. Setting: Department of ENT Sir Ganga Ram Hospital, Lahore. Period: The study was conducted over a six-month period, from July 4, 2025 to January 3, 2026. Methods: In this Cross sectional study, 179 patients were selected from OPD having completed the criteria. After informed consent, History taking and thorough physical examination was done and proformas were completed. HIV, HBV and HCV screening was done to ensure proper sterilization protocol. Intravenous access in the patient was maintained and an emergency management tray was arranged before procedure. Flexible Fibreoptic laryngoscopy was performed with topical anesthesia. Findings were noted and a differential diagnosis made which can be later confirmed with biopsy. Results: Out of 179 patients, 14.0% (n=25) were in age group of 12-40 years and 86.0% (n=154) were in age group of 41-80 years. Mean age was 47.29±6.70 years. There were 87.7% (n=157) male and 12.3% (n=22) females. Among comorbidities, 5.6% (n=10) TB and 7.3% (n=13) had GERD. We found that out of 179 patients, 8.9 %( n=16) were substance abuse, 15.6% (n=28) alcohol and 36.9% (n=66) were smokers. Among the clinopathological profile, 34.1% (n=61) had chronic laryngitis, 14.0% (n=25) benign lesion, 6.1% (n=11) and malignant tumor. Distribution of duration of hoarseness was 12.11±3.45 weeks. Conclusion: We concluded that fiber-optic laryngoscopy found to be helpful technique for identifying different causes of voice hoarseness and to optimize treatment outcomes along with early diagnosis.