“…3 When these conservative measures fail, laryngeal surgery (CO 2 laser, pulsed dye laser, cold excision, or cautery) is sometimes effective, and antibiotics, vocal fold augmentation, and laryngeal botulinum toxin injection may also have important roles in treatment. 1,[13][14][15][16] Botulinum toxin has been used to successfully treat vocal process granulomas based on the hyperadduction/hypermobility theory. 17,18 Augmentation of the vocal folds by injection laryngoplasty has also been used successfully in patients with vocal fold paresis and paralysis.…”