Contact Ulcer of the Larynx

Abstract

Attention was first called to contact ulcer of the larynx in 1928.1 At that time 217 cases had been observed. Since then, 47 cases have been studied; other observers have confirmed the early observations and have added the very important, previously lacking, autopsy data.2 The time seems to have arrived for a review of the subject.The disease, as compared to chronic laryngitis, for instance, cannot be regarded as common. In all, 245 cases are mentioned in the literature, but this is no criterion of frequency, as the condition is usually overlooked.The disease is a superficial ulceration occurring on one or both sides of the larynx posteriorly, the ulcerated surface coming in contact, on phonation, with the same region on the opposite cord, the latter being ulcerated or not, according to whether the ulceration is unilateral or bilateral. ETIOLOGY Age.\p=m-\Contact ulcer is particularly a disease of adult life. So far, only one patient in our experience was a child, a boy aged 10 years.Sex.\p=m-\Asstated by one of us (C. L. J.2c) "sex constitutes an etiologic factor that cannot be ignored; all these ten patients were men." Of 106 cases in which sex was recorded, or indicated by the name, 98

Vocal process granulomata

“…The male to female ratio and age range were similar to those reported in other studies (Jackson and Jackson, 1935;Benjamin and Croxon 1985). All but one of the women in the current study had sustained direct trauma to the larynx, either in the form of intubation or laryngeal surgery.…”

Prognosis of patients with laryngeal contact granuloma: Development and validation of RCGSG score

“…Mechanical factors are another type of risk factors for the prognosis of LCG. Chevalier Jackson et al first suggested in 1935 that the development and persistence of LCG might be related to the impingement of the arytenoid cartilage, and compared this phenomenon to “a hammer striking an anvil.” 1 Damrose et al, in 2008, further speculated that the possible causes for the occurrence and persistence of LCG were the initial trauma resulting in incomplete arytenoid cartilage membrane and the subsequent “traumatic exposure” caused by persistent chronic coughing, throat clearing, and voice abuse, making it difficult to restore the integrity of the cartilage membrane. 16 Chronic cough was the most easily observed symptom by patients compared with several other symptoms.…”

Multimodality Treatment for the Contact Granuloma of the Vocal Folds

“…Vocal process granulomas were first described by Jackson and Jackson, 6 in 1935. Despite ensuing developments in investigative and management techniques in laryngology, their etiology and appropriate treatment remain conten tious.…”