Objective: To find out the prevalence, etiology, risk factor,
presentation and treatment option of the dysphonic people, facilitate
the prevention of the risk factor of it. Study Design: Cohort
retrospective study. Setting: Academic tertiary care medical center.
Subjects and Methods: A total 1739 dysphonic patient’s demographic data
collected and analysed who attended in the department of Otolaryngology
and Head-Neck Surgery, Comilla Medical College, and Comilla Medical
Centre, Bangladesh. Results: Incidence of dysphonic patient was 1.16%,
and yearly prevalence 33.33%. Out of 1739, the male was 1006 (57.85%),
and the female was 733 (42.15%), 50-59 years were highest presentation
488 (28.06%). Among 1739, non-specific chronic laryngitis was 1015
(58.37%), dysphonia without structural change (MTD) 417 (23.98%), and
malignancy 90 (5.17%). Off them, smoker was 911 (52.39%), voice abuser
469 (26.97%), industrial worker was 477 (27.43%), teacher 359
(20.64%), singer 151 (8.68%), and slum dweller was 528 (30.36%).
Presenting feature revealed hoarse voice, reduced loudness, and tiring
to talk above 90%. All patients assessed by rigid Hopkin’s telescope.
Non-neoplastic benign and suspected malignant lesion was 1503 (86.43),
neoplastic benign and malignancy was 236 (13.57%), conservatively
treated 1512 (86.43%), and surgically 227 (13.6%) treated by
micro-laryngeal surgery. Conclusion: Dysphonia effect more than 33% of
people at some point of life. It definitely influences the quality of
life and losing the patient health and wealth. Early and effective
treatment decreases the further loss.