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J Korean Soc Laryngol Phoniatr Logop > Volume 17(1); 2006 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2006;17(1): 49-52.
성대돌기 육아종의 수술적 치료
유명상, 송형민, 노종렬, 최승호, 김상윤, 남순열
울산대학교 의과대학 서울아산병원 이비인후과학교실
Surgical Treatment of Vocal Cord Granuloma
Myeong-Sang Yu, Hyung-Min Song, Jong-Lyel Roh, Seung-Ho Choi, Sang-Yoon Kim, Soon-Yuhl Nam
Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan
Background and Objectives:
Vocal cord granuloma is a exophytic inflammatory mass and caused by gastroesophageal reflux, voice abuse, endotracheal intubation. There has been a controversy in the treatment of vocal cord granuloma. Our aim of study is to know the clinical characteristics and the results of surgical management for vocal cord granuloma.
Materials and Methods:
We have reviewed and analyzed medical records of 55 patients who were diagnosed and surgically treated as vocal cord granuloma in Asan medical center from 1997 to 2005 retrospectively.
25 cases were intubation granuloma and 30 cases were contact granuloma. In intubation granuloma, the clinical manifestation was hoarseness(70%), foreign body sensation(44%), chronic cough(21%). In contact granuloma, the clinical manifestation was hoarseness(67%), foreign body sensation(60%), throat clearing(21%). The recurrence rate after surgery was 8% in intubation granuloma and 33% in contact granuloma. Mean recurrence time was 4.1months in intubation granuloma and 3.2months in contact granuloma.
Although there is no significant difference, recurrence rate after surgery was high in contact granuloma compared to intubation granuloma(p=0.125). Although this study is retrospective, surgical management must be considered in resolving diagnostic doubt, treating airway obstruction, and failure in conservative treatments.
KEY WORDS: Vocal cord granuloma;Sugery;Conservative management;
중심 단어: 성대돌기 육아종;수숲적 치료;보존 관리;
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