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. 2005 Jul-Aug;71(4):494-8.
doi: 10.1016/s1808-8694(15)31205-2. Epub 2005 Dec 15.

Vocal process granuloma: clinical characterization, treatment and evolution

Elza Maria Lemos  1 , Luiz Ubirajara Sennes, Rui Imamura, Domingos H Tsuji
Affiliations

Vocal process granuloma: clinical characterization, treatment and evolution

Elza Maria Lemos et al. Braz J Otorhinolaryngol. 2005 Jul-Aug.

Abstract

Vocal process granuloma is a disease whose etiopathogenesis is not well defined. Therefore, its clinical and surgical treatment is not standardized and its therapeutic results depend on the hospital where it is seen.

Aim: Aiming to characterize patients with vocal process granuloma treated in our hospital, the therapeutic approach used and clinical evolution.

Material and method: We performed a retrospective review of records.

Results: We found more male vocal process granuloma, except when associated with laryngeal intubation. The most frequent related etiopathogenic factor was laryngeal-pharynx reflux, followed by laryngeal intubation and vocal abuse. Clinical management with proton-pump inhibitor (PPI), topical inhalant steroid and phonotherapy was enough for remission on 48.6% of the patients. Surgery for removal of the granuloma associated with clinical management was effective in 90% of the events. Later recurrences (more than one year) were noticed in five patients, suggesting that associated etiopathogenic factors should be held for a long time.

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Figures

Graph 1
Graph 1
Main complaint in patients with granuloma.
See this image and copyright information in PMC

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