Overview
Contact granuloma of the larynx, also known as laryngeal granuloma or polypoid corditis, is a benign inflammatory lesion typically caused by chronic irritation from endotracheal intubation or vocal abuse. It often presents as a unilateral, sessile mass in the vocal fold 1.Diagnosis
Clinical Presentation: Hoarseness, dysphonia, and a visible mass on laryngoscopy 1.
Laryngoscopy: Essential for visualization and confirmation of the lesion 1.
Histopathology: Biopsy may be necessary to rule out other conditions like malignancy 1.Management
Voice Therapy: First-line treatment aimed at reducing vocal strain 1.
Intubation Avoidance: Minimizing future intubation trauma 1.
Surgical Intervention: Considered for refractory cases, including microlaryngoscopy and polypectomy 1.Special Populations
No Specific Guidance: The provided abstracts do not cover special populations such as pregnancy, pediatrics, elderly, or comorbidities 1.Key Recommendations
Perform laryngoscopy for definitive diagnosis and monitoring 1 (Evidence: Moderate).
Initiate voice therapy as the primary management approach 1 (Evidence: Moderate).
Consider surgical intervention for persistent symptoms unresponsive to conservative measures 1 (Evidence: Weak).References
1 Clamp PJ, Grant DG, Zapala DA, Hawkins DB. How private is your consultation? Acoustic and audiological measures of speech privacy in the otolaryngology clinic. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery 2011. link