Vocal process granuloma: clinical characterization, treatment and evolution

Revista Brasileira de Otorrinolaringologia

Sennes, Luiz Ubirajara¹  Tsuji, Domingos H.¹  USP¹  Lemos, Elza Maria¹  Imamura, Rui¹ 

关键词: granuloma;    vocal fold;    vocal process.;   

DOI  :  10.1590/S0034-72992005000400016

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

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.

【 授权许可】

Unknown