UNLABELLED: Vocal process granuloma is a disease whose etiopathogenesis is not well defined. Therefore, its clinical and surgical treatment is not standardized and its therapeutic results depend on the hospital where it is seen. AIM: Aiming to characterize patients with vocal process granuloma treated in our hospital, the therapeutic approach used and clinical evolution. MATERIAL AND METHOD: We performed a retrospective review of records. RESULTS: We found more male vocal process granuloma, except when associated with laryngeal intubation. The most frequent related etiopathogenic factor was laryngeal-pharynx reflux, followed by laryngeal intubation and vocal abuse. Clinical management with proton-pump inhibitor (PPI), topical inhalant steroid and phonotherapy was enough for remission on 48.6% of the patients. Surgery for removal of the granuloma associated with clinical management was effective in 90% of the events. Later recurrences (more than one year) were noticed in five patients, suggesting that associated etiopathogenic factors should be held for a long time.
UNLABELLED: Vocal process granuloma is a disease whose etiopathogenesis is not well defined. Therefore, its clinical and surgical treatment is not standardized and its therapeutic results depend on the hospital where it is seen. AIM: Aiming to characterize patients with vocal process granuloma treated in our hospital, the therapeutic approach used and clinical evolution. MATERIAL AND METHOD: We performed a retrospective review of records. RESULTS: We found more male vocal process granuloma, except when associated with laryngeal intubation. The most frequent related etiopathogenic factor was laryngeal-pharynx reflux, followed by laryngeal intubation and vocal abuse. Clinical management with proton-pump inhibitor (PPI), topical inhalant steroid and phonotherapy was enough for remission on 48.6% of the patients. Surgery for removal of the granuloma associated with clinical management was effective in 90% of the events. Later recurrences (more than one year) were noticed in five patients, suggesting that associated etiopathogenic factors should be held for a long time.
Authors: Valéria M P Barreto; Jeferson S D'Avila; Neuza J Sales; Maria Inês R Gonçalves; Juliane Dantas Seabra; Roberto Salvatori; Manuel H Aguiar-Oliveira Journal: Otolaryngol Head Neck Surg Date: 2009-01 Impact factor: 3.497
Authors: Caroline Fernandes Rimoli; Regina Helena Garcia Martins; Daniele Cristina Catâneo; Rui Imamura; Antonio José Maria Catâneo Journal: Braz J Otorhinolaryngol Date: 2018-04-14