Recalcitrant arytenoid granuloma.
The patient's granuloma was clearly demonstrated on stroboscopy (figure). Treatment options included (1) botulinum injection to the adductor muscles, (2) medialization of the true vocal folds to reduce hyperfunctional compensation for minor glottic granulomas are the result of chronic mucosal injury. Reflux is a major cause, as is vocal abuse or misuse. Chronic injury to the perichondrium and failure to correct the causative factors can lead to recurrence. All of the previous and proposed treatments described above attempt to address these varied etiologies.
Robert Eller, MD; Mary Hawkshaw, BSN, RN, CORLN; Robert T. Sataloff, MD, DMA
From the American Institute for Voice and Ear Research (Dr. Eller and Ms. Hawkshaw) and the Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine and Graduate Hospital (Dr. Sataloff), Philadelphia.
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|Title Annotation:||LARYNGOSCOPIC CLINIC|
|Author:||Sataloff, Robert T.|
|Publication:||Ear, Nose and Throat Journal|
|Date:||Jan 1, 2007|
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