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Arytenoid granuloma: a single-institution experience of management of 62 cases

Published online by Cambridge University Press:  25 November 2021

S Gandhi ,
D Ganesuni ,
S S Shenoy ,
S Bhatta  and
A D Ghanpur
S Gandhi
Affiliation:
Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune, India
D Ganesuni*
Affiliation:
Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune, India
S S Shenoy
Affiliation:
Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune, India
S Bhatta
Affiliation:
Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune, India
A D Ghanpur
Affiliation:
Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune, India
*
Author for correspondence: Dr Dushyanth Ganesuni, Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Erandawane, Pune, India E-mail: ganesunidushyanth@gmail.com
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Abstract

Objective

This retrospective study was undertaken to assess the outcome of the medical and/or surgical management of patients presenting with clinical features of arytenoid granuloma.

Methods

The records of 53 males and 9 females were reviewed for predisposing factors, types of treatment received and recurrence following the treatment.

Results

Most of the patients (48 out of 62, 77.4 per cent) were treated conservatively with medical management and voice therapy, which resulted in complete resolution of arytenoid granuloma in over two-thirds of the patients treated (32 out of 48, 66.6 per cent). Overall, 28 patients (out of 62, 45.1 per cent) required surgery (14 failed medical treatment cases and 14 surgery as first-line treatment cases). Of these, five patients (out of 28, 17.9 per cent) had recurrence, and were managed with revision surgery and concurrent local injection of Botox.

Conclusion

Anti-reflux medication and voice therapy are effective first-line management options. Pre- and post-surgery adjuvant treatment improves the results of surgery. Local injection of Botox was successful in the treatment of failed surgical cases.

Keywords

Laryngeal GranulomaConservative ManagementVocal Process GranulomaGastroesophageal RefluxAntireflux TreatmentLaser SurgeryProton Pump InhibitorSpeech TherapyRecurrenceResolution
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 186 - 191
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr D Ganesuni takes responsibility for the integrity of the content of the paper

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