Why is the sound suddenly hoarse?

Hoe hoarse, referred to as hissing, is a common symptom of throat diseases. Mainly due to the lesions of the throat or vocal cords, the vocal vibration changes caused by the vocal cords, which caused the sound to lose round and clear sound quality. Mostly caused by the throat, especially the vocal cord disease, can also be caused by systemic diseases.

The main diseases that cause thesing include acute infection, chronic laryngitis, vocal cord polyps, vocal cords, vocal cord paralysis, vocal cord white spots, laryngeal cancer, and acute laryngealitis. The sound of acute infection occurs after the cold. After the virus invades the human body, a secondary bacterial infection may cause the vocal cord mucosa and even bleeding, which affects the normal vibration of the mucosa margin, and causes hoarseness to the sound. Generally, swelling sound can be swollen through drug antibiotic treatment, atomizing inhalation treatment, and proprietary drug therapy.

Disease 1: Vocal cord polyps and summary

Summary of vocal polyps and vocal cords can occur in chronic laryngealitis, mostly caused by long -term excessive throat and improper sound. Both vocal polyps and sums will cause the vocal cords to be completely closed when they speak, resulting in hissing and pronunciation fatigue. Most of them are in professional voices (singers, teachers, etc.) and people who like to shout. Once you check the sound of polyps and summary, you can restore normal sound through minimally invasive surgery, atomization inhalation and combined treatment of Chinese medicine.

Disease 2: Vocal cord paralysis

The vocal cord movement is dominated by the outer neuropathy of the throat and the laryngeal nerve, especially the latter. The lesions around the vocal cords, such as thyroid nodules, esophageal tumors, lung tumors, etc., can compress the throat back nerve paralysis, leading to hissing. Classified treatment should be performed for the cause of the disease. If a single -sided sound band is paralyzed, there is no obvious obstacle to the breathing of the pronunciation, and no special treatment may be required. Those who have a sound of sound and sound door are not fully closed. If the bilateral vocal cord is paralyzed and has a laryngeal obstruction, the trachea should be cut away, and the surgery should be expanded.

Three diseases: vocal cord white spots

The white spots of vocal cord white spots are the white plaques -like manifestations formed by the ectopic ectopic epithelium of the mucous membrane, and the hyperplasia and excessive keratinization, which is more common in adult men. It is related to factors such as smoking, alcoholic, chronic inflammation, and reflux esophagitis. It is often considered to have a certain relationship with the occurrence of pre -cancer lesions and laryngeal cancer. It can be treated through laser laser micro surgery, drug conservative treatment, and traditional Chinese medicine treatment.

Disease four: throat cancer

The laryngeal cancer is better in middle-aged and elderly people 50-70 years old. Men are more common than women. The laryngeal cancer is related to excessive long -term smoking, drinking, and harmful chemical gas stimulation. According to the lesion position, it is divided into upper type, sound door, and lower type. The clinical manifestation is hissing, sorer sensor and pain in the throat, blood and blood in cough and sputum, dyspnea and neck. Tumors can be found under the laryngeal mirror.

Men over 40 years of age, who have a hoarseness of hoarseness for more than 2 weeks of treatment, should check the throat carefully to perform imaginated checkers such as indirect laryngeal mirror inspection or electronic laryngeal mirror, biopsy, and CT. Early laryngeal cancer, limited to phase Ⅰ and II squamous cancer in the vocal cords, can have a good treatment effect regardless of surgery or radiotherapy. If the cancer is beyond the vocal cords or the cancer on the acoustic door, surgery and radiation comprehensive therapy is mainly adopted. If there are already lymph nodes in the neck, the neck lymph node scan should be performed. Chemotherapy can be used for advanced laryngeal cancer, supplemented by traditional Chinese medicine.

The surgical treatment of laryngeal cancer can adopt vertical or horizontal semi -throat cutting according to the scope of the lesions. On the basis of removing tumors, try to keep some laryngeal cartilage as much as possible to achieve both tumors and breathing and pronunciation function. Some patients need full laryngeal cutting, pronounced reconstruction during or after surgery. Some early laryngeal cancer can be surgery of minimally invasive laser resection.

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Author: Yu Hongzhi (Deputy Director of East China Hospital's ONENSHAC)

Edit: Li Chenzhen

Editor in charge: Tang Wenjia

Photo source: Wen report information photo

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*Wenhui exclusive manuscript, please indicate the source for reprinting.

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