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Idiopathic ulcerative laryngitis causing midmembranous vocal fold granuloma
Catherine F Sinclair1, Lucian Sulica
1Department of Otolaryngology, Weill Cornell Medical College, New York, New York, USA. casinclair@chpnet.org
The Laryngoscope
|September 20, 2012
Summary
Idiopathic ulcerative laryngitis (IUL) can lead to vocal fold granulation, a rare non-surgical complication. This case shows IUL-related vocal fold granulation can resolve with conservative treatment.
Area of Science:
- Otolaryngology
- Laryngology
- Vocal Fold Pathology
Background:
- Idiopathic ulcerative laryngitis (IUL) typically presents as bilateral vocal fold ulceration post-infection.
- Vocal fold granulomas are usually iatrogenic, occurring after microlaryngoscopy.
- Non-iatrogenic vocal fold granulation is uncommon.
Observation:
- A novel case of non-iatrogenic membranous vocal fold granulation developed in a patient with IUL.
- The granulation implied injury to the vocal fold's microstructure.
- The patient had a history of upper respiratory infection with cough preceding IUL.
Findings:
- The granulation lesion associated with IUL resolved completely.
- Conservative management was effective in treating the vocal fold granulation.
- No adverse sequelae were observed after resolution.
Implications:
- This finding expands the known clinical spectrum of idiopathic ulcerative laryngitis.
- It suggests that vocal fold granulation can occur secondary to non-surgical trauma in IUL.
- Conservative management may be a viable option for such cases, avoiding surgical intervention.
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