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Vocal process granuloma: clinical characterization, treatment and evolution

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 ho...

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Autores principales: Lemos, Elza Maria, Sennes, Luiz Ubirajara, Imamura, Rui, Tsuji, Domingos H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441987/
https://www.ncbi.nlm.nih.gov/pubmed/16446966
http://dx.doi.org/10.1016/S1808-8694(15)31205-2
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author Lemos, Elza Maria
Sennes, Luiz Ubirajara
Imamura, Rui
Tsuji, Domingos H.
author_facet Lemos, Elza Maria
Sennes, Luiz Ubirajara
Imamura, Rui
Tsuji, Domingos H.
author_sort Lemos, Elza Maria
collection PubMed
description 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.
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spelling pubmed-94419872022-09-09 Vocal process granuloma: clinical characterization, treatment and evolution Lemos, Elza Maria Sennes, Luiz Ubirajara Imamura, Rui Tsuji, Domingos H. Braz J Otorhinolaryngol Original Article 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. Elsevier 2015-10-20 /pmc/articles/PMC9441987/ /pubmed/16446966 http://dx.doi.org/10.1016/S1808-8694(15)31205-2 Text en . https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Lemos, Elza Maria
Sennes, Luiz Ubirajara
Imamura, Rui
Tsuji, Domingos H.
Vocal process granuloma: clinical characterization, treatment and evolution
title Vocal process granuloma: clinical characterization, treatment and evolution
title_full Vocal process granuloma: clinical characterization, treatment and evolution
title_fullStr Vocal process granuloma: clinical characterization, treatment and evolution
title_full_unstemmed Vocal process granuloma: clinical characterization, treatment and evolution
title_short Vocal process granuloma: clinical characterization, treatment and evolution
title_sort vocal process granuloma: clinical characterization, treatment and evolution
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441987/
https://www.ncbi.nlm.nih.gov/pubmed/16446966
http://dx.doi.org/10.1016/S1808-8694(15)31205-2
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