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 granuloma and glottal insufficiency: An overlooked etiology?

“…1,2 There is no other paper that we can identify that cites the incidence of GI among patients with VPG. Although our population is small, likely due to the natural incidence of VPG being low, we found that 53% (18/34) of our VPG patient population had GI.…”

Vocal process granuloma

“…6 He described this entity as a superficial ulceration along the posterior border of one or both sides of the larynx. Jackson and Jackson in 1935, later described the mechanism of production as the``hammer and anvil'' action of one vocal process striking the other during abusive phonation.…”

“…Jackson and Jackson in 1935, later described the mechanism of production as the``hammer and anvil'' action of one vocal process striking the other during abusive phonation. 7 This abusive phonation was further described as``throaty'' and often produced with violent effort. Men were most commonly effected.…”

Vocal Process Granuloma - A Case Report

“…Vocal process granuloma (VPG) is a troublesome problem for the patients, speech language pathologists, and the ENT doctors [7]. Aetiologies include voice abuse, gastroesophageal reflux, and endotracheal intubation.…”