title: Fiberoptic laryngeal surgery for vocal process granuloma.
abstract: We developed a technique of fiberoptic laryngeal surgery for the treatment of vocal process granulomas. In this system, the granuloma can be removed relatively easily and repeatedly under topical anesthesia on an outpatient basis. We treated 27 patients for a total of 4 intubation granulomas and 23 contact granulomas. Ten of the 23 contact granulomas recurred after the initial surgery, but the intubation granulomas did not recur. Most of the recurrent lesions were resolved by fewer than 3 procedures, and all patients were finally cured. Although conservative therapies such as voice therapy and proton pump inhibitors have recently prevailed, surgical removal remains useful in treating vocal process granulomas. Fiberoptic laryngeal surgery facilitates repeated surgical procedures.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Hirano
authors.forename: Hisayoshi
authors.initials: H
authors.lastname: Kojima
authors.forename: Ichiro
authors.initials: I
authors.lastname: Tateya
authors.forename: Juichi
authors.initials: J
authors.lastname: Ito
mesh_terms: D000772:Anesthesia, Local; D001193:Arytenoid Cartilage / Q000601:surgery*; D005260:Female; D005336:Fiber Optic Technology; D006102:Granuloma, Laryngeal / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013525:Surgical Instruments