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Vocal process granuloma
1OTL H & N Consultant, King Abdul Aziz University Hospital, Riyadh, Saudi Arabia.
Ear, Nose, & Throat Journal
|June 1, 1997
Summary
Vocal process granuloma, a rare throat condition, often recurs after surgery. This study highlights its association with laryngeal imaging findings and other vocal fold issues.
Area of Science:
- Otolaryngology
- Laryngology
- Vocal Fold Pathology
Background:
- Vocal process granuloma, also known as contact ulcer, involves chronic irritation and granulation tissue formation in the posterior vocal folds.
- This uncommon condition affects individuals experiencing throat irritation, frequent throat clearing, and voice changes.
Purpose of the Study:
- To investigate the characteristics and clinical presentation of vocal process granuloma.
- To explore potential contributing factors and associated conditions, including imaging findings.
Main Methods:
- A study enrolled thirteen patients diagnosed with vocal process granuloma, excluding intubation granuloma cases.
- Computed tomography (CT) of the larynx was utilized in four patients to assess arytenoid sclerosis and granuloma enhancement.
Main Results:
- The most common symptoms included throat irritation, frequent throat clearing, and voice changes.
- Recurrence after surgery was observed in 47% of patients within two to four months.
- CT scans revealed arytenoid sclerosis and moderate enhancement of the vocal fold granuloma in one patient.
- Associated conditions identified were hyperacidity in three patients and hyperfunctioning granulomas in four, including two with bilateral sulcus vocalis.
Conclusions:
- Vocal process granuloma presents with characteristic symptoms and has a notable recurrence rate post-surgery.
- Laryngeal CT may reveal associated findings like arytenoid sclerosis and granuloma enhancement.
- This study reports the first known cases of sulcus vocalis co-occurring with vocal process granuloma and enhanced vocal process granuloma, suggesting complex etiologies.