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

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Dysphagia Caused by Giant Granuloma Arising from the Oropharyngeal Posterior Wall

연하곤란을 초래하는 구인두 후벽에서 발생한 거대육아종

  • Jung, Eun Kyung (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Shin, Bong-Jin (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Kim, Jongmin (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Lee, Joon Kyoo (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital)
  • 정은경 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실) ;
  • 신봉진 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실) ;
  • 김종민 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실) ;
  • 이준규 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실)
  • Received : 2020.10.24
  • Accepted : 2020.12.03
  • Published : 2021.04.30
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Abstract

Granuloma is an uncommon benign disease that develops in the process of wound healing. Pharyngeal or laryngeal granuloma can be associated with gastric reflux, mechanical injury or trauma including intubation, voice abuse, or foreign body. 50-year-old female was transferred to our institute with a huge mass occupying the upper aerodigestive tract causing dysphagia. The patient has been suffering from a brain hemorrhage for several months and was kept in bed due to the quadriplegia with stuporous mental status, and was tracheotomized. On examination, the whole oropharynx and hypopharynx was covered by a smooth-surfaced soft big diffuse granular mass, which extended down to the upper trachea through the larynx. The huge granuloma was successfully removed with surgery and was found to have a pedunculating stalk on the oropharyngeal posterior wall with a small mucosal defect, suggestive of the origin of the mass. The defect was closed primarily after the cauterization. The patient is now followed up regularly without any recurrence of the disease.

Keywords

References

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