|
KMID : 0356820170330020023
|
|
Korean Journal of Head & Neck Oncology
2017 Volume.33 No. 2 p.23 ~ p.27
|
|
|
Surgical treatment of laryngeal contact granuloma
|
|
Yoo Byung-Joon
Tao Zheng
Lee Dong-Won
Song Chang-Myeon
Ji Seon-Yeong
Tae Kyung
|
|
|
Abstract
|
|
|
Background and Objectives: Gastric acid reflux is known to be the most important cause of contact granuloma. Therefore, anti-gastric acid reflux medication has been used as the first line treatment although there are other treatment methods such as surgery or steroid injections. Actually, the role of surgery in the treatment of contact granuloma has not been established clearly. The purpose of this study was to evaluate the effectiveness of surgical treatment for contact granuloma.
Materials and Methods: We retrospectively reviewed the medical records of 14 patients who were diagnosed with contact granuloma and treated with surgery from 2011 to July 2016 at Hanyang University hospital.
Results: Of 14 patients, 9 (64.3%) were male and 5 (27.4%) were female. The mean age was 53.8 (± 6.1) years. The main symptoms were voice change followed by globus, dyspnea, and asymptomatic. Mean Reflux Finding Score (RFS) before surgery was 13.5 and mead Reflux Symptom Index (RSI) was 10.4. The causes of surgery were inadequate response to proton pump inhibitor (PPI) in 4 cases, airway obstruction with large granuloma in 8 cases, and differential diagnosis in 2 cases. Of 14 patients, recurrence occurred in 8 (53.3%) patients after surgery. In 8 recurrent cases, 5 patients showed complete remission and 3 patients showed partial remission with PPI medication.
Conclusion: The role of surgery in the treatment of contact granuloma might be limited due to high recurrence rate.
|
|
|
KEYWORD
|
|
|
Contact granuloma, Laryngopharyngeal reflux, Surgical treatment
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|