Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Surgical Treatment of Vocal Cord Granuloma

성대돌기 육아종의 수술적 치료

  • Yu, Myeong-Sang (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Song, Hyung-Min (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Roh, Jong-Lyel (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Choi, Seung-Ho (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kim, Sang-Yoon (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Nam, Soon-Yuhl (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan)
  • 유명상 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 송형민 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 노종렬 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 최승호 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 김상윤 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 남순열 (울산대학교 의과대학 서울아산병원 이비인후과학교실)
  • Published : 2006.06.15
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Abstract

Background and Objectives: Vocal cord granuloma is a exophytic inflammatory mass and caused by gastroesophageal reflux, voice abuse, endotracheal intubation. There has been a controversy in the treatment of vocal cord granuloma. Our aim of study is to know the clinical characteristics and the results of surgical management for vocal cord granuloma. Materials and Methods: We have reviewed and analyzed medical records of 55 patients who were diagnosed and surgically treated as vocal cord granuloma in Asan medical center from 1997 to 2005 retrospectively. Results: 25 cases were intubation granuloma and 30 cases were contact granuloma. In intubation granuloma, the clinical manifestation was hoarseness(70%), foreign body sensation(44%), chronic cough(21%). In contact granuloma, the clinical manifestation was hoarseness(67%), foreign body sensation(60%), throat clearing(21%). The recurrence rate after surgery was 8% in intubation granuloma and 33% in contact granuloma. Mean recurrence time was 4.1months in intubation granuloma and 3.2months in contact granuloma. Conclusion: Although there is no significant difference, recurrence rate after surgery was high in contact granuloma compared to intubation granuloma(p=0.125). Although this study is retrospective, surgical management must be considered in resolving diagnostic doubt, treating airway obstruction, and failure in conservative treatments.

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