New surgical method for contact granuloma of larynx / 中华耳鼻咽喉头颈外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>For the purpose of improving the surgical effect of contact granuloma of larynx, a new surgical method was used and its effect observed.</p><p><b>METHODS</b>Under suspension laryngoscope, a part of cartilage of vocal process of arytenoid cartilage was removed until the cartilage was covered by local soft tissue after the granuloma was excised. Among 8 patients in this group, 7 were male, 1 female. Their ages ranged from 29 to 51(median 45 years old). The courses were 1 to 9 months (median 7 months). All patients experienced 1 to 5 times operations (median 2 times).</p><p><b>RESULTS</b>Using the new operative method, all 8 patients were cured for only 1 time, without recurrence followed- up for 1.5 years.</p><p><b>CONCLUSIONS</b>The granuloma were very easily recurred after the operation. The reason might be related to the exposure and inflammation of the local vocal process cartilage. The difficult key of the operation is exposure of granuloma and cartilage of vocal process because of intratracheal anesthetic tube.</p>