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Post-COVID-19 Vocal Process Granuloma With Dysphonia and Dysphagia
Sabrina L Maoz1, Sepehr Hamidi2, Ashley E Kita1
1Department of Head and Neck Surgery, University of California Los Angeles, CA, USA.
Ear, Nose, & Throat Journal
|June 19, 2025
Summary
A vocal process granuloma can develop after COVID-19, causing persistent swallowing and voice problems. Surgical removal is important for diagnosis and symptom relief.
Area of Science:
- Otolaryngology
- Infectious Disease
- Pathology
Background:
- Dysphagia and dysphonia are frequent symptoms encountered in Ear, Nose, and Throat (ENT) clinics.
- Vocal process granulomas can arise, impacting vocal function and swallowing.
- Recent COVID-19 infection has been anecdotally linked to various post-viral sequelae.
Purpose of the Study:
- To report a case of vocal process granuloma following COVID-19 infection.
- To discuss the diagnostic and management strategies for this condition.
- To emphasize the importance of surgical intervention and histological examination.
Main Methods:
- Case presentation of a patient with persistent dysphagia and dysphonia post-COVID-19.
- Diagnostic workup including laryngoscopy and imaging.
- Surgical excision of the vocal process granuloma.
- Histopathological analysis of the excised tissue.
Main Results:
- The patient presented with significant dysphagia and dysphonia after a confirmed COVID-19 infection.
- Surgical excision of the vocal process granuloma was performed.
- Histological examination confirmed the diagnosis and ruled out malignancy.
- The patient experienced sustained improvement in swallowing and voice symptoms post-surgery.
Conclusions:
- Vocal process granuloma is a potential, albeit rare, complication following COVID-19.
- Surgical excision is crucial for definitive diagnosis, malignancy exclusion, and therapeutic benefit.
- Early recognition and management can lead to significant symptom resolution.
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