How to Handle Vocal Cord Granuloma

Jaroma, Marjatta; Pakarinen, Leenamaija; Rouhiainen, Päivi; Nuutinen, Juhani

doi:10.3109/00016488809106363

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…The treatment of vocal process granuloma is directed by the cause. 47 Vocal process granuloma arising in patients with severe GER will be treated differently than when vocal abuse or intubation is identified as the cause. Support for each of the following interventions is presented along with a final conclusion derived from this review ( Table 6).…”

Section: Mechanicalmentioning

confidence: 99%

“…Although there are still proponents for surgical removal in the absence of these indications, the weight of contemporary opinion supports nonsurgical interventions as the primary management. 47,1,23 The recommended extent of surgery needed to remove the granuloma has varied from superficial excision to deeper resection with removal of underlying cartilage. Theoretical support for more aggressive resection is offered by the work of McFerran et al, who, in 1994, examined five patients with vocal process granuloma with CT. 2 They identified increased density of the arytenoid cartilage on the side of a unilateral vocal process granuloma.…”

Section: Mechanicalmentioning

confidence: 99%

“…57,58 Jaroma et al in 1988 reported experience with cryotherapy to ablate vocal process granuloma in 9 of 41 patients treated by a variety of measures. 47 The group treated with cryotherapy had the worst outcome, with an average of 2.7 recurrences per patient. This experience prompted the investigators to discourage use of cryotherapy.…”

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confidence: 99%

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Vocal process granuloma

et al. 2001

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Management to diminish laryngopharyngeal reflux, as well as to correct vocally abusive behavior, will appropriately address the majority of vocal process granuloma. Surgical removal is best reserved for cases when conservative management fails, when airway obstruction is a concern, or when a biopsy is needed to establish the diagnosis. Ancillary measures that may be beneficial in specific cases include the use of steroids, antibiotics, membranous vocal fold augmentation, and laryngeal botulinum neurotoxin injection.

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Section: Mechanicalmentioning

confidence: 99%

Section: Mechanicalmentioning

confidence: 99%

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Vocal process granuloma

et al. 2001

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Pulsed Dye Laser Treatment of Laryngeal Granulomas

Clyne¹,

Koufman²,

Halum³

et al. 2005

Ann Otol Rhinol Laryngol

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Laryngeal granulomas are effectively treated with antireflux therapy and speech therapy. Failure to respond leads to treatment with Botox or surgical excision. We report on the use of the pulsed dye laser for treating chronic granulomas that do not respond to standard therapy. We performed a retrospective review from September 2002 to September 2003. Patients identified with chronic granulomas that were not responding to standard therapy were treated in our office with the pulsed dye laser. Ten patients were identified; the mean age was 58 years. Two patients underwent more than one pulsed dye laser treatment. Five of the 10 had resolution of their lesions, and 3 had a partial response. Two were unchanged. The average follow-up was 6 months, and there were no complications. We conclude that in-office use of the pulsed dye laser is a relatively safe and effective method for treating laryngeal granulomas that do not respond to antireflux therapy and speech therapy.

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