Study on topographical distribution of carcinoma larynx

Authors

  • Md Alamgir Hossain ENT Department, BSMMU, Dhaka
  • Mohammad Idrish Ali ENT Department, BSMMU, Dhaka
  • Masroor Rahman ENT Department, BSMMU, Dhaka
  • SM Nazmul Huque OSD, DGHS, DMCH, Dhaka
  • Md Morshed Alam ENT Department, BSMMU, Dhaka
  • Md Azharul Islam ENT Department, BSMMU, Dhaka
  • Sabah Uddin Ahmed Department of ENT & Head-Neck Surgery, Dinajpur Medical College & Hospital, Dinajpur

DOI:

https://doi.org/10.3329/bjo.v17i2.8848

Keywords:

Carcinoma larynx, supraglottic.

Abstract

Objectives: To find out the sites of involvement of carcinoma larynx.

Methods: A cross sectional study was carried out from January, 2006 to December, 2007 at the Department of ENT and Head-Neck Surgery of Dhaka Medical College Hospital, Dhaka. This study included 147 cases with of carcinoma larynx.

Results: Among 147 cases in this study near age was 54.53 years the pearl incidence was 6th to 7th decade; male: female rate 28.4: 1. Majority of case were related to cultivation (42.6%), came for rural area (66.7%), socioeconomic group (68%) and illiterate (49.7%). Regarding habit most of them were more than one habits (87.7%) patients were smokers, duration of smoking habit varied from 2 years to more than 40 years and per day consumption from 3-32 sticks. 100% of female had the, habit of betel leaf chewing in this study. The common symptom was hoarseness of voice (93.8%) followed by dysphagia (61.6%) respiratory distress (52.4%), earache (6.8%) cases, haemoptysis and neck pain in small proportion.

Indirect larygoscopic examination: Supraglottic carcinoma extension to one dial wall of pyriform fossa and valecular / bare of the tongue were present in (11.5%) and 8.7 cases respectively. 73.4% cases were more then one subsites involvement. Impaired vocal cord morbidity was found in 30.9% and fixed cord was 49.6%, 55.2% cases were airway inadequate, nodal involvement was 46.9%, 98.6% nodal involvement in supraglotic region, 65.2% were NI stage followed by N2 (21.7% and N3 (13%) distribution of the carcinoma larynx were supraglottic 74.10 glottic 25.10% and subglottic 0.70% more than one insite involvement were 88%, in supraglottic epiglottis 5.5%, any epiglottic folds 4.6% or glend 0.9% and ventricular bands were 0.9%. In the subsite of the glottic carcinoma glottic proper 37.8% followed by more then one insite (32.4%) anterior commissure 18.4% and posterior commissure 10.8%, 55% of the patient were Grade II and 49.6% were stage III.

Conclusion: Incidence of supraglottic carcinoma was more common, involvement of more than one single site also common.

Key words: Carcinoma larynx; supraglottic.

DOI: http://dx.doi.org/10.3329/bjo.v17i2.8848

BJO 2011; 17(2): 96-103

Downloads

Download data is not yet available.
Abstract
321
PDF
138

Downloads

How to Cite

Hossain, M. A., Ali, M. I., Rahman, M., Huque, S. N., Alam, M. M., Islam, M. A., & Ahmed, S. U. (2011). Study on topographical distribution of carcinoma larynx. Bangladesh Journal of Otorhinolaryngology, 17(2), 96–103. https://doi.org/10.3329/bjo.v17i2.8848

Issue

Vol. 17 No. 2 (2011)

Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).