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J Korean Soc Laryngol Phoniatr Logop > Volume 32(1); 2021 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2021;32(1): 39-42.
doi: https://doi.org/10.22469/jkslp.2021.32.1.39
연하곤란을 초래하는 구인두 후벽에서 발생한 거대육아종
정은경 , 신봉진 , 김종민 , 이준규
전남대학교 의과대학 화순전남대학교병원 이비인후과학교실
Dysphagia Caused by Giant Granuloma Arising from the Oropharyngeal Posterior Wall
Eun Kyung Jung , Bong-Jin Shin , Jongmin Kim , Joon Kyoo Lee
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital, Hwasun, Korea
Correspondence  Joon Kyoo Lee ,Tel: +82-61-379-8190, Fax: +82-61-379-8199, Email: joonkyoo@jnu.ac.kr
Received: 24 October 2020; Revised: November 13, 2020   Accepted: 3 December 2020.  Published online: 28 April 2021.
ABSTRACT
Granuloma is an uncommon benign disease that develops in the process of wound healing. Pharyngeal or laryngeal granuloma can be associated with gastric reflux, mechanical injury or trauma including intubation, voice abuse, or foreign body. 50-year-old female was transferred to our institute with a huge mass occupying the upper aerodigestive tract causing dysphagia. The patient has been suffering from a brain hemorrhage for several months and was kept in bed due to the quadriplegia with stuporous mental status, and was tracheotomized. On examination, the whole oropharynx and hypopharynx was covered by a smooth-surfaced soft big diffuse granular mass, which extended down to the upper trachea through the larynx. The huge granuloma was successfully removed with surgery and was found to have a pedunculating stalk on the oropharyngeal posterior wall with a small mucosal defect, suggestive of the origin of the mass. The defect was closed primarily after the cauterization. The patient is now followed up regularly without any recurrence of the disease.
KEY WORDS: Granuloma; Oropharynx; Laryngopharyngeal reflux; Wound and injuries; Deglutition disorders
중심 단어: 육아종, 인두, 인후두역류, 상처, 연하 장애
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