Tumors of the Larynx in Yemen: Prevalence and Treatment

Ali Obaid Muthanna Otolaryngology, Head & Neck Surgery Department, Faculty of Medicine and Health Sciences, Sana'a University, Yemen *Corresponding author email: muthannadr@yahoo.com

Abstract

Background: Laryngeal cancer is known to be associated with tobacco use, alcohol abuse and other
chemical carcinogens. .Aim: To determine the prevalence and methods of treatment of laryngeal
tumors in adult patients. Methods: Hospital based study was carried out from May 2010 to March
2016 at ENT department, at Al-Thowrah Hospital Sana'a, Yemen. A total of 130 patients were
enrolling in this study. All patients had laryngeal tumors underwent to clinical examination,
investigations, and treated according to type of tumors. Results: A total of 130 patients were enrolling
in this study, males (76.9%) and Females (23.1%), mean ages were 48.1years. Neoplastic tumors
(62.3%), malignant (96.3%), benign (3.7%), non-neoplastic tumors (37.7%), laryngeal polyp consisted
(65.4%) of benign lesions. Hoarseness (100%), difficulty of breathing (34.6%).Left side involved
(61.5%). Advanced malignant (64.1%), early malignant (30.8%), insitu (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 most tumors of the larynx, and Laryngeal
polyp were the most non-neoplastic tumors in the larynx. Surgical intervention was the main standard
method of treatment either neoplasm or non-neoplasm tumors followed by radiation for malignant.