Korean J Otolaryngol-Head Neck Surg.  2005 Jan;48(1):70-73.

Management of Vocal Process Granuloma

• Lee JC
• Wang SG

Abstract

BACKGROUND AND OBJECTIVES
Vocal process grnauloma is a relatively rare disease caused by laryngopharyngeal reflux, vocally abusive behavior and endotracheal intubation etc. However, management of these diseases is not clearly identified except for intubation ganuloma untill now. We analyzed 58 cases of vocal process granuloma with the exception of post-intubation cases, and investigated treatment modality. SUBJECTS AND METHOD: Fifty-eight cases were analyzed in this study. All cases were classified as remarked above. These patients were treated by medical treatment such as PPI (proton-pump inhibitor), H2-blocker, prokinetics, steroid inhalant, Botox injection and voice therapy. RESULTS: Contact granuloma was healed in 62.5% using mainly voice therapy, and additionally, prokinetics and PPI or H2 blocker. Reflux granuloma healed in 73.8% using mainly pokinetics and PPI or H2 blocker. Botox injection was applied in 2 refractory cases of contact granuloma. All of 2 cases were healed after Botox injection. CONCLUSION: These results suggest that voice therapy and Botox injection are effective additional treatment modalities in refractory cases.

Keyword

Granuloma; Vocal cords; Treatment

MeSH Terms

Granuloma*
Humans
Intubation
Intubation, Intratracheal
Laryngopharyngeal Reflux
Rare Diseases
Vocal Cords
Voice