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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