[New surgical method for contact granuloma of larynx].
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.
Huang
De-liang
DL
Department of Otorhinolaryngology Head and Neck Surgery, Chinese People's Liberation Army General Hospital, Beijing, China. huangdl301@sina.com.cn
Zhao
Hui
H
Liu
Liang-fa
LF
Feng
Bo
B
Wu
Wen-ming
WM
Wang
Jia-ling
JL
Jiang
Wen
W
Yuan
Yong-yi
YY
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