Chronic Voice Hoarseness - Differential Diagnosis Algorithm
Infectious:
• Bacterial Infection
• Fungal Infection (Monilia)
Inflammatory:
• Chronic Laryngitis
• GERD
• Smoking
Trauma:
• External
• Internal (Surgery, Intubation)
Benign Mucosal Changes:
• Nodules
• Polyps
• Granuloma Cysts
• Reinke's Edema
Neoplastic:
• Malignancy: Squamous Cell Carcinoma
• Benign: Papilloma (HPV 6 & 11)
• Dysplasia: Leukoplakia
Neurological:
• Vocal Cord Paralysis
• Spasmodic Dysphonia
• Tremor
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