TREATMENT EXPERIENCE OF PATIENTS WITH LARYNGEAL GRANULOMA USING HIGH-ENERGY SURGICAL EQUIPMENT ENT

Abstract

Contact vocal process granuloma causative factors are gastroesophageal reflux, intubation trauma, and vocal abuse and psychosomatics. Treatment includes proton pump inhibitors, voice therapy, psychotherapy and surgical excision in case of inefficiency of conservative methods or in patients with clinical symptoms of laryngeal stenosis. The literature review and our experience of laryngeal granuloma treatment presented in this article. In ENT Department of I.M. Sechenov First Moscow state medical university 8 patients with laryngeal granuloma were treated. 1 patient with postintubation bothsides granuloma underwent a surgical excision under general anesthesia, followed up for 6 months and had no recurrence. 7 patients (6 males and 1 female) were treated with proton pump inhibitors due to they had gastroesophageal reflux disease. In 1 case contact granuloma reduced after 3 month conservative therapy without recurrence. One patient was non compliant. In 5 others microsurgical treatment performed. 2 of them had recurrent granuloma after 6 months and underwent repeated microsurgical excision using radiofrequency ablation. According the world and our own experience high-energy surgical equipment is recommended to be used in recurrent laryngeal granuloma to reduce it’s recurrence rate.