Nonarytenoid laryngeal granulomas

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Date: Sept. 2018
From: Ear, Nose and Throat Journal(Vol. 97, Issue 9)
Publisher: Sage Publications, Inc.
Document Type: Report
Length: 686 words
Lexile Measure: 1810L

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A 69-year-old woman with dysphonia was taken to the operating room for excision of a left true vocal fold cyst refractory to voice therapy and reflux control. She had previously undergone Nissen fundoplication for severe reflux and inability to tolerate anti-reflux medications. Examination 1 week postoperatively revealed swelling at the excision site on the left vocal fold. She was started on a prednisone taper and a strict low-acid diet. Upon her re-examination 2 weeks later, a large, left true vocal fold granuloma was observed at the operative site, along the middle third of the true vocal fold (figure 1).

The patient subsequently underwent microdirect laryngoscopy, excision of a left true vocal fold granuloma, angiolytic KTP laser treatment of the attachment site, and dexamethasone injection. Two weeks postoperatively, she was doing well with no evidence of recurrent granuloma (figure 2).

Contact granulomas are benign lesions of the larynx that characteristically develop posteriorly at the vocal process of the arytenoid. The most common presenting symptom is hoarseness, with sore throat, dyspnea on exertion,...

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Gale Document Number: GALE|A558921691