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Diagnostic and Therapeutic Endoscopy
Volume 7, Issue 3-4, Pages 129-133
http://dx.doi.org/10.1155/DTE.7.129

Clinical Course of Laryngeal Granuloma Without Surgical Treatment

Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo 160-0023, Japan

Received 6 June 2001; Accepted 10 August 2001

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Laryngeal granuloma is a rather common pathological entity, but its therapeutic strategy is still controversial. In general, therapeutic strategy consists of medications such as steroids or tranilast, in addition to vocal hygiene and surgery. Surgical removal is most commonly performed. However, it has recently been reported that recurrence after surgery is high.

We successfully treated 19 of 20 cases of laryngeal granuloma without surgical removal. It took 28–328 days for the granulomas to disappear. Therefore conservative treatments should be the first choice of treatment.