Vocal cord granulomas without sensation may not require surgical management, but require regular review, treatment for the cause and monitoring of changes in the condition. If there are changes such as rapid enlargement of the swelling or surface erosion, then active surgical treatment is recommended.
Vocal fold contact granuloma is an inflammatory granulation tissue that occurs at the acoustic prominence of the arytenoid cartilage at the back of the vocal folds. Vocal fold granulomas can occur unilaterally or bilaterally in the vocal folds, and can grow prostrate on the surface of the vocal fold prominence, or protrude from the surface of the vocal fold prominence and fall toward the midline of the vocal folds.
1. It can be caused by the mucosal injury caused by the arytenoid cartilages contacting and colliding with each other during the process of vocalization. Its main symptoms include: vocal difficulties, hoarseness, foreign body sensation in the throat, cough, sore throat, continuous throat clearing, etc., and even some patients have no obvious symptoms. It is recommended to quit smoking and alcohol, scientific voice, prohibit shouting.
2. The common cause is gastroesophageal reflux disease (GERD). When the stomach contents reflux into the laryngeal cavity, it is easy to corrode and damage the vocal cords, resulting in granulomatous lesions. This kind of situation may not need surgical treatment, but need to target the cause of conservative treatment, such as the choice of omeprazole and other acid suppression drugs, moxapride and other gastrointestinal dynamics drugs, and scientific voice, and regularly monitor changes in the condition.
Those who do not show obvious symptoms can be treated for the cause of the disease, and regular laryngoscopy can be performed to understand the dynamics of the disease and the characteristics of the mass. Surgery is recommended if there is rapid enlargement of the granuloma and changes such as surface erosion.
When suffering from vocal cord granuloma, it is necessary to actively seek medical treatment, systematic examination, clear diagnosis and etiology, and follow the doctor’s instructions for standardized treatment.