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Clinical Significance of Hoarseness. Presented by Dr. Louis H. Clerf.
Hoarseness, a symptom, is the result of interference with the normal phonatory function of the larynx. While changes in the voice may result from nasal obstruction, development of a pharyngeal tumor, enlargement of tonsils, presence of adenoids and other pathologic conditions, they should not be designated as hoarseness. It is also important to bear in mind that correction of such conditions will not correct voice changes due to laryngeal dysfunction. Normal phonation requires approximation, tension and vibration of the vocal cords. Any lesion which interferes with one or more of these will produce the symptom hoarseness.While phonation is necessary to enable one to ascertain whether hoarseness is present, the cause can be determined only by adequate examinations which include the larynx. Since many diseases of the larynx are local manifestations of systemic or environmental conditions, and others, parts of
HAGENS EW, THEOBALD WH. CHICAGO LARYNGOLOGICAL AND OTOLOGICAL SOCIETY. Arch Otolaryngol. 1945;42(3):228–232. doi:10.1001/archotol.1945.00680040288013