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Related Experiment Videos

Vocal process granuloma: clinical characterization, treatment and evolution.

Elza Maria Lemos1, Luiz Ubirajara Sennes, Rui Imamura

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

Brazilian Journal of Otorhinolaryngology
|February 1, 2006
PubMed
Summary

Vocal process granuloma treatment varies, but a combination of medication and voice therapy achieved remission in nearly half of patients. Surgery was effective in 90%, though long-term management of causes is key to prevent recurrence.

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Area of Science:

  • Otolaryngology
  • Laryngology
  • Voice Disorders

Background:

  • Vocal process granuloma (VPG) lacks a defined cause, leading to non-standardized treatments and variable outcomes.
  • Understanding VPG's etiology and treatment response is crucial for improving patient care.

Purpose of the Study:

  • To characterize patients with VPG treated at our institution.
  • To analyze the therapeutic approaches and clinical evolution of VPG.

Main Methods:

  • Retrospective review of patient records.
  • Analysis of demographic data, etiopathogenic factors, and treatment outcomes.

Main Results:

  • VPG predominantly affects males, unless linked to laryngeal intubation.

Related Experiment Videos

  • Laryngopharyngeal reflux, laryngeal intubation, and vocal abuse are common contributing factors.
  • Clinical management (PPI, steroids, phonotherapy) led to remission in 48.6% of cases.
  • Surgical removal combined with clinical management achieved a 90% success rate.
  • Late recurrences highlight the need for sustained management of underlying causes.

    • Conclusions:

    • A multidisciplinary approach combining medical and surgical interventions is effective for VPG.
    • Long-term management of contributing factors like reflux and vocal abuse is essential to prevent recurrence.