Premium
Vocal process granuloma
Author(s) -
Hoffman Henry T.,
Overholt Edwin,
Karnell Michael,
McCulloch Tim M.
Publication year - 2001
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.10014
Subject(s) - glottis , medicine , larynx , irritation , dermatology , surgery , immunology
Background This review article reports the evolution of knowledge regarding the benign proliferations of the posterior glottis commonly termed “vocal process granuloma”. Methods A comprehensive review of publications addressing lesions of the posterior glottis is affected to analyze the contemporary management of vocal process granuloma. Results Contemporary management emphasizes interventions to decrease irritation to the posterior glottis. Multiple causes of this irritation preclude use of a single management plan that will successfully address all cases. Conclusions Management to diminish laryngopharyngeal reflux, as well as to correct vocally abusive behavior, will appropriately address the majority of vocal process granuloma. Surgical removal is best reserved for cases when conservative management fails, when airway obstruction is a concern, or when a biopsy is needed to establish the diagnosis. Ancillary measures that may be beneficial in specific cases include the use of steroids, antibiotics, membranous vocal fold augmentation, and laryngeal botulinum neurotoxin injection. © 2001 John Wiley & Sons, Inc. Head Neck 23: 1061–1074, 2001.