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Braz J Otorhinolaryngol. 2005 Jul-Aug;71(4):494-8. Epub 2005 Dec 15.

Vocal process granuloma: clinical characterization, treatment and evolution.

Author information

1
Division of Clinical Otorhinolaryngology, Hospital das ClĂ­nicas, Medical School, USP. e.m.lemos@uol.com.br

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.

PMID:
16446966
DOI:
/S0034-72992005000400016
[Indexed for MEDLINE]
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