| Surgical treatment of laryngeal contact granuloma |
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Byung Joon Yoo;Tao Zheng;Dong Won Lee;Chang Myeon Song;Yong Bae Ji태경;Kyung Tae |
| 후두 접촉성 육아종의 수술적 치료 |
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유병준;타오정;이동원;송창면;지용배 |
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| 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 |
| Key Words:
Contact granuloma, Laryngopharyngeal reflux, Surgical treatment |
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