- Chronic simple laryngitis:
Episodic hoarseness which is most prevalent upon arising in the morning As the physical activity increases the sound improves The next morning the hoarseness returns Over long periods of time there is fatigue of the voice and sound cannot be emitted for an extended period Throat discomfort and pain upon emitting sounds There is often a habit of clearing ones throat but no evident sputum is coughed up The hoarseness is more evident when attempting to make a high pitched sound Diffuse hyperemia of the laryngeal mucosa The vocal cords have lost their original pearl white color and turned pink or progressed to a deeper red The vertical capillaries running parallel to the border of the vocal cords are enlarged The border is thickened The glottis cannot be closed completely, or The bilateral vibration is not balanced The exterior of the vocal cords are often covered by a sticky secretion which forms sticky silk - like strands connecting the interglottic space - Chronic hypertrophic laryngitis:
Episodic hoarseness which is most prevalent upon arising in the morning As the physical activity increases the sound improves The next morning the hoarseness returns Over long periods of time there is fatigue of the voice and sound cannot be emitted for an extended period | - Throat discomfort and pain upon emitting sounds
There is often a habit of clearing ones throat but no evident sputum is coughed up The hoarseness is more evident when attempting to make a high pitched sound A long history of hoarseness and aphonia Hoarseness is very evident Coughing is relatively mild Occasionally there are acute flare ups causing a further increase in hoarseness and deterioration in the sound quality Symmetrical swelling of the laryngeal mucosa is observed but the distribution is not even and is more marked in the arythenoid space where it stands out high When a sound is emitted it forms one or several plica in the arythenoid space The vocal cord is thickened, appearing like a stick that is rough and not smooth and often takes on a nodular or polypoid form which is covered by a sticky secretion If the disease progresses to the areas below the glottis, it prevents the vocal cords from uniting and triangular fissures appear If the disease progresses to the areas below the glottis, it prevents the vocal cords from uniting and triangular fissures appear The ventricular folds are enlarged and often press on the vocal folds when a sound is emitted The aryepiglottic fold may also be thickened but enlargement of the epiglottis is extremely rare |