The Incidence and Treatment of Laryngeal Tumors in Patients Attending Al-Thawra Teaching Hospital, Our Experience

Abstract

Background: Tumors of the larynx include all masses in the larynx, neoplastic or non-neoplastic. Non-neoplastic are inflammatory, traumatic, or degenerative in origin. Neoplastic tumors are benign or malignant. The symptoms produced by tumors depended on the location and size of tumors.  

Objective: To evaluate the incidence and methods of treatment of laryngeal tumors.

Patients and Methods: Prospective study was carried out from January 2015 to December 2019 at ENT Department, at Al-Thawrah Teaching Hospital Sana'a, Yemen. A total of 130 patients were enrolled in this study,100 males and 30 females. All patients who had laryngeal tumors underwent clinical examination, investigations, and treated according to the type of tumors.

Results: A total of 130 patients were enrolled in this study,100 males and 30 females, mean ages were 48.1 years. Neoplasm (62.3%), malignant (96.3%), benign (3.7%), non-neoplastic tumors (37.7%), laryngeal polyps constituted (65.4%) of benign lesions. Hoarseness (100%), difficulty of breathing (34.6%). Left side involved in (61.5%). Advanced malignant (64.1%). Early malignant (30.8%), in situ (5.1%), glottic area (76.9%), supraglottic (14.2%), while transglottic was (10.3%).   Modalities of treatment, excision by laryngoscope (35.4%), radiation (32.3%), total laryngectomy (27.7%) speech therapy (3.1%), external approach (1.5%).

Conclusion: Malignant tumors were the commonest tumors of the larynx, and Laryngeal polyps were the commonest non-neoplastic tumors in the larynx. Surgical intervention was the main standard method of treatment either neoplastic or non-neoplastic tumors followed by radiation for malignant lesions.