Brazilian journal of otorhinolaryngology · 2005
Vocal process granuloma: clinical characterization, treatment and evolution.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Lemos Elza Maria, Sennes Luiz Ubirajara, Imamura Rui, Tsuji Domingos H
Аннотация
UNLABELLED: Vocal process granuloma is a disease whose etiopathogenesis is not well defined. Therefore, its clinical and surgical treatment is not standardized and its therapeutic results depend on the hospital where it is seen.
AIM: Aiming to characterize patients with vocal process granuloma treated in our hospital, the therapeutic approach used and clinical evolution.
MATERIAL AND METHOD: We performed a retrospective review of records.
RESULTS: We found more male vocal process granuloma, except when associated with laryngeal intubation. The most frequent related etiopathogenic factor was laryngeal-pharynx reflux, followed by laryngeal intubation and vocal abuse. Clinical management with proton-pump inhibitor (PPI), topical inhalant steroid and phonotherapy was enough for remission on 48.6% of the patients. Surgery for removal of the granuloma associated with clinical management was effective in 90% of the events. Later recurrences (more than one year) were noticed in five patients, suggesting that associated etiopathogenic factors should be held for a long time.
AIM: Aiming to characterize patients with vocal process granuloma treated in our hospital, the therapeutic approach used and clinical evolution.
MATERIAL AND METHOD: We performed a retrospective review of records.
RESULTS: We found more male vocal process granuloma, except when associated with laryngeal intubation. The most frequent related etiopathogenic factor was laryngeal-pharynx reflux, followed by laryngeal intubation and vocal abuse. Clinical management with proton-pump inhibitor (PPI), topical inhalant steroid and phonotherapy was enough for remission on 48.6% of the patients. Surgery for removal of the granuloma associated with clinical management was effective in 90% of the events. Later recurrences (more than one year) were noticed in five patients, suggesting that associated etiopathogenic factors should be held for a long time.