AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and Occupations
HoarsenessGranulomaVocal Cord ParalysisLaryngeal DiseasesLaryngitisLipoid Proteinosis of Urbach and WietheGranuloma, Foreign-BodyLaryngoscopyArytenoid CartilageVocal CordsGranuloma, PyogenicEosinophilic GranulomaLarynxRoot Nodules, PlantVoice QualityGranuloma, Respiratory TractGranuloma AnnulareVoice DisordersPharyngitisIntubation, IntratrachealRheumatoid NoduleRecurrent Laryngeal Nerve InjuriesRecurrent Laryngeal NerveGranuloma, Giant CellCranial Nerve DiseasesThyroid CartilageLaryngeal NeoplasmsGranuloma InguinaleEcchymosisPeriapical GranulomaLaryngopharyngeal RefluxLaryngeal Nerve InjuriesDysphoniaMultiple Pulmonary NodulesCranial Nerve InjuriesGranuloma, LaryngealOtolaryngology
Degrees of hoarsenessOccur unilaterally or bilaterallyMalignantLesionsLarynxContact granulomaLesionPolypsLaryngoscopyGastroesophageal refluxCarcinomaTumorsDiagnosisChronicStridorBreathyDysphoniaCoughBiopsyExaminationDiscomfortPathologyExamNeck massThroatTraumaInfectionVoicePatientsPitchConsistsTreatmentFormResultTypesLargePresenceSizeSingle
Degrees of hoarseness1
  • Symptoms of laryngeal contact ulcers include varying degrees of hoarseness, globus sensation, and mild pain with phonation and swallowing. (msdmanuals.com)
Occur unilaterally or bilaterally2
  • Contact granulomas can occur unilaterally or bilaterally, affecting one or both vocal folds. (wikipedia.org)
  • Contact granulomas may occur unilaterally or bilaterally. (medscape.com)
Malignant2
  • It should be noted though, that an examination in the office is not always sufficient evidence to distinguish a benign lesion from a malignant one. (cornell.edu)
  • Adenoma_cervical (epithelial tumor of the cervix that can be either benign or malignant. (zapperstore.com)
Lesions4
  • The vocal process is overwhelmingly the most common laryngeal site for these lesions, although they have also been observed on the medial and anterior portions of the vocal folds. (wikipedia.org)
  • Contact granulomas are benign lesions usually located on the posterior third of the vocal fold, which corresponds to the vocal process of the arytenoid cartilage. (medscape.com)
  • These lesions often are similar in appearance to those found in patients after intubation (intubation granulomas) and in patients with gastroesophageal reflux. (medscape.com)
  • A mismatch often occurs in the severity of the symptoms and the relatively benign appearance of the lesions. (medscape.com)
Larynx3
  • Overview of Laryngeal Disorders The larynx contains the vocal cords and serves as the opening to the tracheobronchial tree. (msdmanuals.com)
  • Contact granuloma is a condition that develops due to persistent tissue irritation in the posterior larynx. (wikipedia.org)
  • Granulomas of the larynx can be classified into 2 general groups: specific granulomas and nonspecific granulomas. (medscape.com)
Contact granuloma7
  • The primary symptoms of contact granuloma include chronic or acute hoarseness of the voice and vocal fatigue. (wikipedia.org)
  • In addition, the presence of the contact granuloma makes it impossible for the vocal folds to come to a complete closure in adduction. (wikipedia.org)
  • Inflammatory issues associated with contact granuloma include gastroesophageal reflux, allergy or infection. (wikipedia.org)
  • Tenseness, high-stress, aggressiveness and impulsiveness are personality traits associated with contact granuloma. (wikipedia.org)
  • Various methods are used to diagnose contact granuloma which aid in differentiating it from other vocal fold pathology. (wikipedia.org)
  • Microscopic examination of the tissue can help determine that the lesion is benign rather than cancerous, as would be the case in contact granuloma. (wikipedia.org)
  • A contact granuloma is a pale or sometimes red mass located on the medial aspect of the vocal process of the arytenoid cartilage. (medscape.com)
Lesion4
  • Identification is carried out by laryngoscopy, which produces an image of the lesion in the form of an abnormal growth (nodule or polyp) or ulceration. (wikipedia.org)
  • Notice how the breathy, strained quality sounds similar to nodules or some other lesion of the vocal folds, reminding us that it is imperative to have a laryngeal examination before trying to treat, or work with, a voice that is obviously disorderd. (vocapedia.info)
  • Notice how the breathy, strained quality sounds similar to nodules or some other lesion of the vocal folds, especially with the loss of higher pitches. (vocapedia.info)
  • In this photo, some might characterize the left vocal fold lesion (left side of the photo) as a large nodule, while the right sided vocal fold lesion might be considered a small polyp. (newportvoiceandswallow.com)
Polyps3
Laryngoscopy2
Gastroesophageal reflux2
  • The second common cause of granulomas is gastroesophageal reflux and is controlled primarily through the use of anti-reflux medication. (wikipedia.org)
  • Contact ulcers (or granulomas) historically were thought to be the result of voice abuse or misuse, and the granulomas of intubation or gastroesophageal reflux were separate subsets of these conditions. (medscape.com)
Carcinoma1
  • Laryngeal carcinoma must be differentiated from laryngeal syphilis, lymphoma , and chronic laryngitis . (wikidoc.org)
Tumors1
  • Benign tumors and cancer are also common diseases affecting the submandibular gland. (uciheadandneck.com)
Diagnosis2
  • Objectives The aim of the review was to assess the effectiveness of anti-reflux therapy for patients with hoarseness, in the absence of other identifiable causes, whether or not a definitive diagnosis of laryngopharyngeal and gastro-oesophageal reflux has been made. (fliphtml5.com)
  • Selection criteria Randomised controlled trials recruiting patients with hoarseness in the absence of other identifiable causes, such as malignancy, cord palsy or nodules, whether or not a definitive diagnosis of laryngopharyngeal and gastro-oesophageal reflux has been made. (fliphtml5.com)
Chronic2
  • Histologically, contact granulomas resemble pyogenic granulomas, which consist of chronic inflammatory infiltration with neovascularization and fibrosis covered by squamous epithelium. (medscape.com)
  • A granuloma is a focal area of chronic inflammation produced by circulating monocytes as part of an immunologic process. (medscape.com)
Stridor1
Breathy1
Dysphonia2
Cough1
  • People who use their voice professionally may experience voice disorders manifesting as hoarseness or breathiness, lowered vocal pitch, vocal fatigue, nonproductive cough, persistent throat clearing, and/or throat ache. (msdmanuals.com)
Biopsy1
Examination3
  • This reminds us that it is imperative to have a laryngeal examination before trying to treat, or work with, a voice that is obviously disorderd. (vocapedia.info)
  • Anti-reflux therapy is often used empirically in treating patients with hoarseness, where no other cause has been identified by examination. (fliphtml5.com)
  • These treatmentsare often used for patients with hoarseness, where no other cause has been found by examination. (fliphtml5.com)
Discomfort2
Pathology1
  • Other methods such as laryngeal electromyography and reflux testing can also be used to evaluate the function of the vocal folds and determine if laryngopharyngeal reflux is contributing to the pathology. (wikipedia.org)
Exam1
  • This brief video shows a stroboscopic laryngeal exam of a female with nodules. (vocapedia.info)
Neck mass1
  • Laryngeal cancer should be differentiated from other diseases presenting as a neck mass. (wikidoc.org)
Throat3
  • Signs and symptoms may include hoarseness of the voice, or a sensation of having a lump in the throat, but contact granulomas may also be without symptoms. (wikipedia.org)
  • More severe granulomas may result in throat ache or soreness, as well as pain that spreads to one or both ears. (wikipedia.org)
  • Signs of contact granulomas are frequent coughing and throat-clearing. (wikipedia.org)
Trauma1
  • The major etiologic factors of contact granulomas have been organized into the following categories: Mechanical issues resulting in contact granulomas are related to physical trauma at the level of the vocal folds. (wikipedia.org)
Infection1
  • citation needed] For patients in need of tracheal intubation to receive oral drugs, an oversized tube, excessive movement of the tube, or infection can lead to contact granulomas, but this is rare. (wikipedia.org)
Voice1
  • Voice rest, often prescribed in cases of hoarseness, may improve the voice somewhat but is not likely to make a polyp go away. (cornell.edu)
Patients6
  • ACID REFLUX TREATMENT FOR HOARSENESS [REVIEW] Hopkins C, Yousaf U, Pedersen M ABSTRACT Background Acid reflux is a common problem, and is thought to occur in 4% to 10% of patients presenting to ENT clinics. (fliphtml5.com)
  • Six randomised controlled trials were identified in which some, but not all patients presented with hoarseness, and were treated with proton pump inhibition. (fliphtml5.com)
  • As we could not determine with certainty whether all these patients had hoarseness among the other laryngeal symptoms, these were excluded. (fliphtml5.com)
  • Authors' conclusions There is a need for high quality randomised controlled trials to evaluate the effectiveness of anti-reflux therapy for patients with hoarseness which may be due to laryngopharyngeal and gastro-oesophageal reflux. (fliphtml5.com)
  • Thisreview found no randomised controlled trials of patients with hoarseness treated by anti-reflux therapy. (fliphtml5.com)
  • Somestudies were found, however, where patients had hoarseness among other symptoms of acid reflux. (fliphtml5.com)
Pitch2
  • Some people may also notice that their pitch range is restricted due to granuloma. (wikipedia.org)
  • It is clear that the nodules prevent vocal fold vibration at a higher pitch. (vocapedia.info)
Consists2
  • benign tumor of the nasal mucosa, consists of large vessels and fibrous tissue. (brainscape.com)
  • Granulomatosis with polyangiitis, formerly known as Wegener granulomatosis , is a disease that typically consists of a triad of airway necrotizing granulomas, systemic vasculitis, and focal glomerulonephritis. (medscape.com)
Treatment3
  • Because of how important the thyroid function is to the body, if a patient is found to have thyroid nodules, they are almost immediately referred to an ENT for treatment or surgery. (univoto.net)
  • Acid Reflux Treatment for Hoarseness [Review].January 2006 in The Cochrane Library Oxford, Wiley publishing. (fliphtml5.com)
  • As no trials met our criteria, we are unable to reach any firm conclusions regarding the effectiveness of anti-reflux treatment for hoarseness. (fliphtml5.com)
Form1
  • In nodule or polyp form, contact granulomas generally have a grey or dark red colouring and measure 2 to 15 mm in size. (wikipedia.org)
Result1
  • The hoarseness results from irregularities in vocal fold closure as well as irregularities in vibration, both the result of the bulk of the polyp. (cornell.edu)
Types1
  • Benign granulomas, not to be confused with other types of granulomas, occur on the vocal process of the vocal folds, where the vocal ligament attaches. (wikipedia.org)
Large1
Presence1
  • Contact granulomas can be physically identified and diagnosed by observing the presence of proliferative tissue originating from the vocal process of the arytenoid cartilage. (wikipedia.org)
Size1
  • In general, nodules have a change of decreasing in size and even disappearing if the phonotraumatic behavior is eliminated. (newportvoiceandswallow.com)
Single1
  • therefore, both subsets of nonspecific granulomas can be considered a single entity. (medscape.com)