eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Laryngology

Contact Granulomas: Multimedia

Author: James D Garnett, MD, Director of Voice and Swallowing Center, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center
Contributor Information and Disclosures

Updated: Aug 31, 2009

Multimedia

Left vocal process granuloma on initial presentat...Media file 1: Left vocal process granuloma on initial presentation (scope view of 70°).
Left vocal process granuloma on initial presentat...

Left vocal process granuloma on initial presentation (scope view of 70°).

Vocal process granuloma 2 months after initiation...Media file 2: Vocal process granuloma 2 months after initiation of antireflux therapy and speech therapy intervention in a patient who initially presented with left vocal process granuloma (scope view of 70°).
Vocal process granuloma 2 months after initiation...

Vocal process granuloma 2 months after initiation of antireflux therapy and speech therapy intervention in a patient who initially presented with left vocal process granuloma (scope view of 70°).

Vocal process granuloma 4 months after initiation...Media file 3: Vocal process granuloma 4 months after initiation of antireflux therapy and speech therapy intervention (scope view of 70°).
Vocal process granuloma 4 months after initiation...

Vocal process granuloma 4 months after initiation of antireflux therapy and speech therapy intervention (scope view of 70°).

Flexible endoscopic view of contact ulcer in a pa...Media file 4: Flexible endoscopic view of contact ulcer in a patient upon presentation. The patient underwent surgical resection with recurrence prior to referral.
Flexible endoscopic view of contact ulcer in a pa...

Flexible endoscopic view of contact ulcer in a patient upon presentation. The patient underwent surgical resection with recurrence prior to referral.

Resolution of contact granuloma 5 months after in...Media file 5: Resolution of contact granuloma 5 months after intensive antireflux therapy, speech therapy intervention, and botulinum toxin injection into left vocal fold (flexible endoscopic view). Note the small, red, residual spot.
Resolution of contact granuloma 5 months after in...

Resolution of contact granuloma 5 months after intensive antireflux therapy, speech therapy intervention, and botulinum toxin injection into left vocal fold (flexible endoscopic view). Note the small, red, residual spot.

24 hour pharyngeal pH probe study revealing moder...Media file 6: 24 hour pharyngeal pH probe study revealing moderate increase in acidity (decrease in pH) below 5.5 during the night.
24 hour pharyngeal pH probe study revealing moder...

24 hour pharyngeal pH probe study revealing moderate increase in acidity (decrease in pH) below 5.5 during the night.

More on Contact Granulomas

Overview: Contact Granulomas
Workup: Contact Granulomas
Treatment: Contact Granulomas
Follow-up: Contact Granulomas
Multimedia: Contact Granulomas
References

References

  1. Jackson C. Contact ulcer of the larynx. Ann Otol Rhinol Laryngol. 1928;37:227-30.

  2. Jackson C, Jackson CL. Contact ulcer of the larynx. Arch Otolaryngol. 1935;22:1-15.

  3. Ayazi S, Lipham JC, Hagen JA, Tang AL, Zehetner J, Leers JM, et al. A new technique for measurement of pharyngeal pH: normal values and discriminating pH threshold. J Gastrointest Surg. Aug 2009;13(8):1422-9. [Medline].

  4. Bloch CS, Gould WJ, Hirano M. Effect of voice therapy on contact granuloma of the vocal fold. Ann Otol Rhinol Laryngol. Jan-Feb 1981;90(1 Pt 1):48-52. [Medline].

  5. de Lima Pontes PA, De Biase NG, Gadelha EC. Clinical evolution of laryngeal granulomas: treatment and prognosis. Laryngoscope. Feb 1999;109(2 Pt 1):289-94. [Medline].

  6. Gould WJ, Rubin JS, Yanagisawa E. Benign vocal fold pathology through the eyes of the laryngologist. In: Rubin JS, ed. Diagnosis and Treatment of Voice Disorders. New York, NY:. Igaku-Shoin;1995:146-9.

  7. Havas TE, Priestley J, Lowinger DS. A management strategy for vocal process granulomas. Laryngoscope. Feb 1999;109(2 Pt 1):301-6. [Medline].

  8. Nasri S, Sercarz JA, McAlpin T, Berke GS. Treatment of vocal fold granuloma using botulinum toxin type A. Laryngoscope. Jun 1995;105(6):585-8. [Medline].

  9. Orloff LA, Goldman SN. Vocal fold granuloma: successful treatment with botulinum toxin. Otolaryngol Head Neck Surg. Oct 1999;121(4):410-3. [Medline].

  10. Wenig BM, Heffner DK. Contact ulcers of the larynx. A reacquaintance with the pathology of an often underdiagnosed entity. Arch Pathol Lab Med. Aug 1990;114(8):825-8. [Medline].

Further Reading

Keywords

contact granulomas, granulomas, contact granuloma, granuloma, vocal cord granuloma, contact pachydermia, pyogenic granuloma, contact ulcer, contact ulcers, vocal process granuloma, larynx

Contributor Information and Disclosures

Author

James D Garnett, MD, Director of Voice and Swallowing Center, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center
James D Garnett, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy and American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

John Schweinfurth, MD, Associate Professor, Department of Otolaryngology, University of Mississippi Medical Center
John Schweinfurth, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Stephen G Batuello, MD, Consulting Staff, Colorado ENT Specialists
Stephen G Batuello, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American Medical Association, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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