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Vocal process granuloma and glottal insufficiency: An overlooked etiology? by Thomas L. Carroll; Jackie Gartner-Schmidt; Melissa M. Statham; Clark A. Rosen is a Medicine article available to read on EtoBox.

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## Abstract ## Objectives/Hypothesis: Vocal process granuloma has been attributed to intubation, laryngopharyngeal reflux, and phonotraumatic/hyperfunctional vocal behaviors. Vocal process granuloma has recurrence rates following surgical excision approaching 92%. We hypothesize that a portion of persistent or idiopathic cases of vocal process granuloma result from underlying glottal insufficiency (GI) caused by paresis, scar, or atrophy. Our goal was to examine our vocal process granuloma population and determine the incidence of GI, treatment interventions, and outcomes. ## Study Design: Retrospective chart review. ## Methods: Thirty‐four patients with vocal process granuloma were divided into surgically or conservatively managed groups. Patients were identified if they carried a diagnosis of GI. The time to resolution and number of recurrences within the overall treatment period was recorded and compared between subgroups. Pre‐ and post‐treatment Voice Handicap Index‐10 (VHI‐10) and Reflux Symptom Index (RSI) scores were compared. ## Results: Eighteen of 34 patients (53%) carried an underlying diagnosis of GI, 13/34 (38%) were treated surgically, and 8/13 (62%) surgical patients

Who reads Vocal process granuloma and glottal insufficiency: An overlooked etiology??

Author

Thomas L. Carroll; Jackie Gartner-Schmidt; Melissa M. Statham; Clark A. Rosen

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); Wiley-Blackwell; Wiley (ISSN 0023-852X)

Published

2009

Language

EN

Field

Medicine (Health Sciences)