Abstract

This study emphasizes on the clinical presentation of a stridulous adult patient and the management of it, in a tertiary care institution. Methods and material – A prospective observational study conducted on statically calculated, sample adults of both genders, presenting with stridor of any type to the department of Otorhinolaryngology and Head and Neck surgery, emergency ward of tertiary care institution. between October 2019 to April 2021. RESULT- A total of 24 cases were studied and among them 77.8% (n=18) were males and 22.2%(n=6) were females. In this study 37.5%(n=9) were supraglottic malignancy,12.5%(n=3) were of deep neck space infection respectively. Our study noted out of patient presented with the inspiratory stridor (N=18), 33% (N=6) had voice change and among the patient with expiratory stridor, 5 out of 6 patients (94.4%) had the voice change (p= 0.03). saturation of oxygen among all the 24 stridulous patients the recorded SpO2 at the room air had no statistical significance (P= 0.06) with respect to type of stridor. all patients underwent emergency tracheostomy were later referred to department of medical /surgical oncology. CONCLUSION – The most dependable symptom appear to be “dysphonia” rather than recordable SpO2 , among the stridulous adult secondary to supraglottic malignancies, further emergency/urgent tracheostomy is the time tested ,dependable morbidity reducing procedure among the stridulous adult patient and further studies needed in this regards with large number of population.

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