A CASE REPORT ON THE MANAGEMENT OF SULCUS VOCALIS WITH REFER-ENCE TO SWARASADA

Abstract

1Sulcus vocalis is a condition characterized by a groove or infolding of the mucosa along the surface of the vocal fold, disrupting the normal physiology of vocal fold vibration and impacting voice production. Common symptoms include hoarseness, vocal fatigue, voice weakness, and increased effort, particularly concerning working professionals who rely on speech for communication and quality of life. While treatment options like phono surgery and speech therapy exist, phono surgery often yields disappointing results, typically limited to increased voice loudness. In Ayurveda, this condition aligns with Swarasada, attributed to factors such as 2Athyucha bhasana(loud speaking) and abhighata(trauma), leading to dosha invasion in sabdhavahi siras and causing speech difficulties. Presented here is a case report involving a 33-year-old IT professional experiencing hoarseness, vocal fatigue, and weakness. Upon bronchoscopy, the diagnosis initially indicated muscle tension dysphonia, later revealing bilateral sulcus vocalis with GERD. The patient underwent Nasya, Gandusha, and Sneha Sweda procedures alongside internal medication. Following a one-month review, the patient exhibited marked improvement in voice clarity. Notably, modern treatments provided only temporary relief. This case report underscores the effective management of sulcus vocalis through Panchakarma treatments and internal medications, showcasing consistent relief over a three-month review period.