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KMID : 1004320200310010027
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Journal of the Korean Society of Logopedics and Phoniatrics
2020 Volume.31 No. 1 p.27 ~ p.30
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A Case of Foreign Body Laryngeal Granuloma Mimicking Contact Granuloma
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Kim Hye-Soo
Kim Sun-Woo
Lee Jin
Lee Sang-Hyuk
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Abstract
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Among lesions in the larynx, laryngeal contact granuloma due to persistent tissue irritation can typically be attributed to endotracheal intubation, vocal abuse, or gastro-esophageal reflux disease. Treatment typically includes voice therapy, lifestyle changes and use of anti-reflux medication. Microsurgical removal is only indicated in cases of severe dyspnea due to mass size. Foreign body granuloma is a response of to any foreign material in the tissue. Foreign body granulomas are sometimes misdiagnosed as soft tissue tumors when the causative foreign body is not initially found. Delayed treatment of these foreign bodies may cause complications. We present a case of larynx granuloma due to impacted foreign body, probably fish bone, in the larynx that mimicked contact granuloma. We initially used anti-reflux medication, but to no avail. The laryngeal mass, observed through laryngoscopy, showed no improvement and therefore necessitated a proper pathologic diagnosis. We were able to successfully treat it via trans-oral laser CO2 microsurgery before any complications developed.
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KEYWORD
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Contact granuloma, Foreign body granuloma, Larynx, Foreign body, Treatment
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