Symptoms:

• Patient complains of hoarse voice with variations in pitch.
• Vocal fatigue.
• Chronic throat irritation.
• Dry hacking cough.

Signs:

• Vocal cord edges lose their pearly shine and appear red and congested with dilated blood vessels on the superior surface.
• Cord movements appear asynchronous and flabby on phonation.
• Thick mucus seen on the cords.
• In advanced untreated cases, mucosa exhibits polypoidal changes.

Treatment: Apart from treating the parent causative factor for Chronic Laryngitis the following management should be done:

• Stop smoking and alcohol.
• Plenty of fluids to keep the vocal cords moist and thin secretions.
• Voice rest.
• Speech therapy /Voice Therapy.
• Avoid whispering as it puts more strain on the vocal cords.
• Avoid decongestants, as they cause dryness in oral cavity and throat.
• Steam inhalation.
• Control of Laryngo-pharyngeal reflux by giving proton pump inhibitors.
• Expectorants to reduce cough.
• Well humidified atmosphere.
• If there is keratosis of vocal cord, microlaryngoscopy done and stripping of the vocal cords done by cold steel instruments, laser or radiofrequency.