Presentation
We present a case where bilateral laryngeal granulomas became clinically evident 3 mo after orthognathic surgery. The patient, a 19-yr-old female, developed acute dyspnea after experiencing gradual voice loss. [ncbi.nlm.nih.gov]
In the present study, we evaluate the prognostic factors and the usefulness of a grading system in 64 patients with vocal process granulomas. [okayama.pure.elsevier.com]
If the granuloma is located on the vocal folds, the patient may present with hoarseness and breathiness, if closure of the folds is impaired. [questia.com]
Respiratoric
- Hoarseness
In February 1997, she visited the otorhinolaryngology department in our hospital because of continuous hoarseness. [anesthesiology.pubs.asahq.org]
Two days after extubation, the patient complained of hoarseness, sore throat, and dyspnea. When symptoms persisted, she was evaluated in the Otolaryngology Department. [ncbi.nlm.nih.gov]
It seems appropriate to start an antireflux regimen before surgery, which can be chosen for non responders or cases with severe respiratory symptoms, hoarseness, or for definitive diagnosis. [elsevier.es]
- Laryngeal Disease
Annotation non-neoplastic History note 91(79); was see under LARYNGEAL DISEASES 1979-90 Public Note 91; was see under LARYNGEAL DISEASES 1979-90 Record number D006102 Persistent link Allowable qualifiers (subheadings) Browse Medical Subject Headings [medvik.cz]
[Disease/Finding] Finnish Medical Subject Headings Finnish D006102 L5682219 preferred S6515255 Y Kurkunpään granulooma French MedDRA French 10066217 L3258246 preferred S3786740 N Granulome laryngé French MedDRA French 10066217 L3258246 preferred S3786740 [doctor.am]
SARCOIDOSIS OF LARYNX• Chronic idiopathic granulomatous disease also called Besnier-Boeck disease• Head and neck manifestations in 10% of whom only minor proportion have laryngeal disease• Disease is usually self limiting• Pathology non specific granuloma [slideshare.net]
Workup
[…] device and 200-300 nm fibre; Zero degree or 30 degree rod lens telescope ¢ 18-30 cm length to permit visualisation of the suprastomal area; Water to use in case of an airway fire; Protection for staff and patient whilst using the KTP laser; Preoperative Workup [csurgeries.com]
He was then hospitalized and underwent a general workup that included a com... more Morphology, motility, proliferation rate and markers of oxidative stress in primary human gingival fibroblasts (GF) and periodontal ligamental fibroblasts (PDL-F) grown [scinapse.io]
Treatment
This study compared the CR and recurrence rates between conservative treatment and surgery for granuloma. [ncbi.nlm.nih.gov]
First, we treated this disease with conservative treatments including a proton pump inhibitor, steroid inhalation, or voice therapy. Surgical treatment was reserved for failures of conservative treatments or when the diagnosis was in doubt. [okayama.pure.elsevier.com]
The treatment of LPR is more aggressive than that of reflux. [laryngologyandvoice.org]
Prognosis
• Painless asymptomatic condition may be discovered incidentally• Prognosis is good• Treatment is anti tubercular drugs 21. MYCOSIS OF LARYNX• Following mycosis can occur in the larynx1. Candidiasis2. Coccidioidmycosis3. Paracoccidioidmycosis4. [slideshare.net]
[…] strategies for primary lesions and recurrences.Data Sources:The data came from a systematic review of the literature.Methods:Main outcome measures were recurrence rate, reducti... more Summary Objective To assess the clinical profile, presentation, prognosis [scinapse.io]
[edit] As the masses of granular tissue are most often benign, prognosis is generally positive.[5] However, due to the variety of treatment options and lifestyle factors, outcomes of individual treatments and form of management vary. [en.wikipedia.org]
Etiology
CONCLUSIONS: The present results indicate that the diagnosis of gastroesophageal reflux disease (GERD) is an independent etiological factor predicting retardation of the resolution of laryngeal granuloma. [ncbi.nlm.nih.gov]
Gastroesophageal reflux (GER), hyperfunctional use of the voice, and intubation injury are etiological factors. Patients usually complain of dysphagia, and dysphonia. [laryngologyandvoice.org]
Laryngeal granulomas are found most commonly in the posterior larynx involving the region of the arytenoid cartilages; but depending upon the etiology, they may be found anywhere in the larynx. [questia.com]
Epidemiology
[…] isolated LPR are not obese. 4, 5 Unfortunately, the remaining risk factors and patient profiles for LPR are not well established because epidemiologic studies in this area are lacking. [nature.com]
[…] patients.[3] Surgical solutions are sometimes used, however rates of recurrence are higher.[3] Most recent research suggests that surgical options should only be explored once treatment of reflux with or without voice therapy has been introduced.[3] Epidemiology [en.wikipedia.org]
Pathophysiology
Grasp the nuances of the pathophysiology of today’s major respiratory conditions—including pulmonary hypertension, COPD, asthma, environmental lung disease, sleep disorders, infections of the immunocompromised, neonatal breathing disorders, and drug-resistant [books.google.com]
This suggests that differences in pathophysiology between LPR and GERD patients are part of the basis for the contrasting symptomology. [nature.com]
Pathophysiology Contact granulomas are usually pale, pedunculated masses found on the medial or superior edge of the vocal process of the arytenoid cartilage; however, they may also be deep red, lobulated, and sessile. [emedicine.medscape.com]
Louis, in the mid-19th century, established the correlation between pulmonary and laryngeal tuberculosis and explained the pathophysiology of such laryngeal lesions. [entokey.com]
Prevention
After excision, removal of the irritating source is necessary to prevent recurrence. Resources In This Article [merckmanuals.com]
She was administered 250 mg methylprednisolone succinate for the prevention of vocal cord edema. Extubation was performed after complete awakening from anesthesia. [anesthesiology.pubs.asahq.org]
We take the utmost care to prevent poor voice outcomes. [voicedoctorla.com]
Another good option to try is botox injection which can be administered into the vocal cord muscle to prevent the vocal cords from coming together thereby preventing the granuloma site from being "hit" from the other side when talking. [fauquierent.net]