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Fiberoptic laryngeal surgery for vocal process granuloma
Shigeru Hirano1, Hisayoshi Kojima, Ichiro Tateya
1Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan.
The Annals of Otology, Rhinology, and Laryngology
|September 26, 2002
Summary
Fiberoptic laryngeal surgery offers an effective outpatient treatment for vocal process granulomas. This minimally invasive technique allows for repeated procedures, ensuring successful patient outcomes for both intubation and contact granulomas.
Area of Science:
- Otolaryngology
- Laryngeal Surgery
- Minimally Invasive Procedures
Background:
- Vocal process granulomas are benign growths that can cause voice disturbances.
- Traditional treatments include voice therapy and proton pump inhibitors, with varying success rates.
- Surgical intervention is often considered for refractory cases.
Purpose of the Study:
- To evaluate the efficacy and feasibility of fiberoptic laryngeal surgery for vocal process granulomas.
- To assess recurrence rates and the need for repeat procedures.
- To compare outcomes for intubation granulomas versus contact granulomas.
Main Methods:
- Development of a fiberoptic surgical technique for laryngeal granuloma removal.
- Outpatient procedures performed under topical anesthesia.
- Treatment of 27 patients: 4 with intubation granulomas and 23 with contact granulomas.
Main Results:
- Intubation granulomas showed no recurrence after surgery.
- Ten of 23 contact granulomas recurred but were resolved with fewer than three procedures.
- All patients achieved a final cure, with fiberoptic surgery facilitating repeat interventions.
Conclusions:
- Fiberoptic laryngeal surgery is a safe and effective outpatient treatment for vocal process granulomas.
- The technique allows for repeated procedures, crucial for managing recurrent contact granulomas.
- Surgical removal remains a valuable option, especially when conservative therapies fail.