The condition often accompanies upper respiratory tract infections with symptoms that may include hoarseness, sore throat, odynophonia
, odynophagia, dysphagia, dyspnea, cough, congestion, postnasal drip, and mucus.
Early diagnosis and treatment of oral cancer can significantly decrease morbidity associated with treatment and improve overall long term survival.2 Diagnostic delay in oropharygneal cancer may be associated with poor prognosis.3 When lesions become symptomatic, patients complain of pain, bleeding, ulceration, a mass, dysphagia or odynophonia
, however, before the patient becomes symptomatic, the lesion is often growing and metastasizing.4 Late presentation is an important issue as advances disease requires more radical treatment and associated with poor prognosis.5
A 52-year-old computer programmer and avocational baritone complained of having a weak voice; odynophonia
; decreased range, resonance, and projection; and difficulty with his passagio with voice breaks.
She complained of a "gravely" voice quality, poor volume, odynophonia
, and vocal fatigue after prolonged speaking.
She also complained of voice fatigue and odynophonia. On examination, her voice was weak, breathy, and mildly raspy.
Compensatory hyperfunction of accessory muscles to close the glottis can result in odynophonia, voice fatigue, and a harsh, pressed vocal quality.
He also complained of odynophonia
during a recent performance.
He denied odynophonia
, dysphagia, odynophagia, and weight loss.
A 37-year-old man, a software developer, presented after having undergone 3 years of treatment with multiple medications, voice therapy, and seven operations to eliminate a left arytenoid-body granuloma that caused odynophonia
. He also had had laryngopharyngeal reflux for several years, for which he had been treated with a proton-pump inhibitor twice daily.
There were no acute voice changes, but mild odynophonia
was present, which lasted 2 days.
In addition, all patients complained of progressive odynophonia
The patient denied odynophonia
, dysphagia, odynophagia, throat tickle, chronic cough, chronic throat clearing, and heartburn.