title: [New surgical method for contact granuloma of larynx].
abstract: OBJECTIVE
  For the purpose of improving the surgical effect of contact granuloma of larynx, a new surgical method was used and its effect observed.
  
  
  METHODS
  Under suspension laryngoscope, a part of cartilage of vocal process of arytenoid cartilage was removed until the cartilage was covered by local soft tissue after the granuloma was excised. Among 8 patients in this group, 7 were male, 1 female. Their ages ranged from 29 to 51(median 45 years old). The courses were 1 to 9 months (median 7 months). All patients experienced 1 to 5 times operations (median 2 times).
  
  
  RESULTS
  Using the new operative method, all 8 patients were cured for only 1 time, without recurrence followed- up for 1.5 years.
  
  
  CONCLUSIONS
  The granuloma were very easily recurred after the operation. The reason might be related to the exposure and inflammation of the local vocal process cartilage. The difficult key of the operation is exposure of granuloma and cartilage of vocal process because of intratracheal anesthetic tube.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Chinese People's Liberation Army General Hospital, Beijing, China. huangdl301@sina.com.cn
authors.forename: De-liang
authors.initials: DL
authors.lastname: Huang
authors.forename: Hui
authors.initials: H
authors.lastname: Zhao
authors.forename: Liang-fa
authors.initials: LF
authors.lastname: Liu
authors.forename: Bo
authors.initials: B
authors.lastname: Feng
authors.forename: Wen-ming
authors.initials: WM
authors.lastname: Wu
authors.forename: Jia-ling
authors.initials: JL
authors.lastname: Wang
authors.forename: Wen
authors.initials: W
authors.lastname: Jiang
authors.forename: Yong-yi
authors.initials: YY
authors.lastname: Yuan
mesh_terms: D000328:Adult; D001193:Arytenoid Cartilage / Q000601:surgery; D005260:Female; D006099:Granuloma / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007818:Laryngeal Diseases / Q000601:surgery*; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged