Treatment of Laryngeal Contact Granuloma: Surgical Therapy or Conservative Treatment.
ORL J Otorhinolaryngol Relat Spec
; 81(5-6): 348-353, 2019.
Article
em En
| MEDLINE
| ID: mdl-31694031
ABSTRACT
OBJECTIVE:
Despite the fact that there are many treatment alternatives, laryngeal contact granuloma has a high tendency of persistence, spontaneous disappearance without treatment, and recurrence. A comparison of the effects of conservative treatment and surgical therapy on laryngeal contact granuloma was made in a retrospective review.METHODS:
A total of 124 patients with laryngeal contact granuloma were divided into 2 groups according to treatment simple surgical excision (n = 36) and conservative treatment (n = 84). Additionally, the reflux finding score (RFS) and the reflux symptom index (RSI) were utilized to assess the disease.RESULTS:
A total of 124 patients, with a median age of 48.5 years, ranging from 9 to 74 years, were recruited (107 male, 17 female). According to the diagnostic criteria for laryngeal reflux (RSI >13 or RFS >7), there were 67 cases, accounting for 54.03% of the total. Surgery was effective in 15 patients (15/36, 41.67%), and conservative treatment was effective in 62 patients (62/84, 73.81%). The 2 groups had statistically significant differences.CONCLUSIONS:
Conservative treatment, which is a comprehensive anti-reflux therapy, is better than surgical therapy and plays an important role in the treatment of laryngeal contact granuloma.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Granuloma Laríngeo
/
Tratamento Conservador
/
Laringectomia
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
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Aged
/
Child
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
ORL J Otorhinolaryngol Relat Spec
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
China