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Contact granuloma is a condition that develops due to persistent tissue irritation in the posterior larynx. [1] [2] Benign granulomas, not to be confused with other types of granulomas, occur on the vocal process of the vocal folds, where the vocal ligament attaches.
Intubation granuloma is a benign growth of granulation tissue in the larynx or trachea, which arises from tissue trauma due to endotracheal intubation. [1] This medical condition is described as a common late complication of tracheal intubation, specifically caused by irritation to the mucosal tissue of the airway during insertion or removal of the patient's intubation tube.
Cordectomy is the surgical removal of a cord. It usually refers to removal of one or both vocal cords, often for the purpose of treating laryngeal cancer. [1] [2] The word is derived from the Greek, combining chorde and ektome meaning excision. It can be carried out by traditional surgical techniques or, increasingly, by carbon dioxide laser. [3]
This modified procedure involves a judicious excision of 3.5–4 mm C-shaped wedge in posterior vocal cord from the open edge of the membranous cord using carbon dioxide laser. Excision is made anteriorly to the vocal process, continuing 4 mm laterally on to the ventricular band without exposing the cartilage.
Practicing good vocal hygiene is recommended to prevent vocal fold cysts. [4] Initial treatment of the cysts involves voice therapy to reduce harmful vocal behaviours. If symptoms remain after voice therapy, patients may require surgery to remove the cyst. Surgery is typically followed by vocal rest and further voice therapy to improve voice ...
Vocal Fold Muscle Reduction, a standalone laser tuning procedure, can also be considered for professional voice users as well. [22] Granuloma in the vocal cords is also a possible complication, which may cause a soft and whispery voice. The granuloma should eventually be coughed out, or in some case be removed manually. [18]
Examples of this use of the term granuloma are the lesions known as vocal cord granuloma (known as contact granuloma), pyogenic granuloma, and intubation granuloma, all of which are examples of granulation tissue, not granulomas. "Pulmonary hyalinizing granuloma" is a lesion characterized by keloid-like fibrosis in the lung and is not ...
When behavioural treatments have been deemed ineffective for a voice user, surgical intervention is often considered. [17] Surgical treatments are considered in cases of unresolved dysphonia which negatively impacts the patient's quality of life. [7] Removal of vocal fold nodules is a relatively safe and minor surgery [citation needed].