Laryngeal Granuloma: Case Report

• Autor(a) principal: Mocaiber Dieguez, Fernanda Siqueira
• Data de Publicação: 2010
• Outros Autores: Barbosa, Martha Verônica Câmara, Rangel de Almeida, Angélica Araújo, RaMaciel, Natália, Souza, Vanessa de Araújo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/116
• topic: Granuloma; laringe; distúrbios da voz; refluxo gastroesofágico; Contact granuloma; larynx; voice disturbance; gastroesophageal reflux

Introduction: Granulomas are lesions that occur in the region of the vocal process of arytenoid cartilage. Their main causes are severe speech and forced trauma phonation. Chronic laryngeal  irritants, such as gastroesophageal reflux disease, alcohol and tobacco tend to favor their emergence. The treatment is made according to the etiology.Objective: To report a case of contact granuloma, emphasizing its etiology and factors that favor its appearance and discussion about the best treatment.Methods: Review of medical records and clinical follow.Case Report: A 35-year-old man came to the Otorhinolaryngology service presenting with a nuisance complain in the throat that worsened with exertion. We conducted a videolaryngoscopy which revealed a laryngeal granuloma. After this diagnosis he was submitted to a surgery to remove the granuloma, but the patient still had a nuisance complain in the throat after the procedure. Then, he was re examined by videolaryngoscopy and endoscopy, followed by treatment for gastroesophageal reflux, with recovery..Conclusion: Laryngeal granuloma diagnosis is made by clinical history, examination and complementary tests. On clinical history, patients can present a variety of symptoms, from a mild dysphonia and severe, pain in the larynx, constant throat clearing, reflex otalgia, oreign body sensation in the throat etc. These symptoms worsen with vocal effort. Videolaryngoscopy is the best examination and surgery is sometimes necessary. The cause of granuloma should always be investigated to remove it and prevent recurrences.