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Vocal process granulomata

D J McFerran1, V Abdullah, A P Gallimore

  • 1Royal National Throat, Nose and Ear Hospital, London.

The Journal of Laryngology and Otology
|March 1, 1994
PubMed
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Vocal process granulomata may involve arytenoid cartilage ossification due to perichondritis. This finding could explain the recurrence of these vocal fold granulomata after surgical removal.

Area of Science:

  • Otolaryngology
  • Pathology
  • Radiology

Background:

  • Vocal process granulomata are benign lesions of the vocal folds.
  • Recurrence after surgical excision is a common challenge in managing these granulomata.

Purpose of the Study:

  • To investigate potential underlying causes for the recurrence of idiopathic vocal process granulomata.
  • To explore the role of arytenoid cartilage changes in the pathogenesis of vocal process granulomata.

Main Methods:

  • Retrospective review of case records and histology for 34 patients with vocal process granulomata.
  • Axial computerized tomography (CT) imaging of the arytenoid cartilage in five recent cases of idiopathic vocal process granulomata.

Main Results:

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  • Histological confirmation of vocal process granulomata in 34 patients.
  • Increased density of the ipsilateral arytenoid cartilage was observed in all five patients investigated with CT.
  • This increased density suggests secondary ossification of the cartilage.

    • Conclusions:

    • Perichondritis, leading to arytenoid cartilage ossification, is suggested as a contributing factor in the development of vocal process granulomata.
    • This perichondritis may play a role in the observed tendency for vocal fold granulomata to recur post-excision.