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Progressively Hoarse Voice

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Abstract

A 62-year-old male presents with a 2-month history of a progressively hoarse voice. Initially, his voice was only slightly raspy, but over time, he has lost the ability to project his voice and is only able to speak in a loud whisper. He endorses blood-tinged sputum with coughing, which has occurred approximately twice a week for the past month. His social history is remarkable for a 40-pack-year smoking history, and he continues to smoke 1 pack per day. On review of systems, he denies dyspnea, dysphagia, and odynophagia. On physical examination, his voice is breathy and raspy. His oral cavity and oropharynx are remarkable only for caries, and his neck is supple, without lymphadenopathy. Flexible laryngoscopy performed in clinic reveals friable masses on both vocal cords, with a widely patent airway but with impaired mobility of the left vocal cord.

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Suggested Reading

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  • The Department of Veterans Affairs Laryngeal Cancer Study Group. Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. N Engl J Med. 1991;324(24):1685–90.

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Author information

Authors and Affiliations

  1. House Clinic, Los Angeles, CA, USA

    Kevin A. Peng

  2. Department of Head and Neck Surgery, University of California, Los Angeles, Santa Monica, CA, USA

    Irene A. Kim

  3. Department of Head and Neck Surgery, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Vishad Nabili

Authors
  1. Kevin A. Peng
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  2. Irene A. Kim
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  3. Vishad Nabili
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Corresponding author

Correspondence to Kevin A. Peng .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA

    Christian de Virgilio

  2. Department of Surgery, Suite 1600, University of California, Ivine, Orange, CA, USA

    Areg Grigorian

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Peng, K.A., Kim, I.A., Nabili, V. (2020). Progressively Hoarse Voice. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_15

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  • DOI: https://doi.org/10.1007/978-3-030-05387-1_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05386-4

  • Online ISBN: 978-3-030-05387-1

  • eBook Packages: MedicineMedicine (R0)

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