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Ophthalmology5 papers

Contact ulcer of vocal folds

Last edited: 4/10/2026

Overview

Contact ulcers of the vocal folds, also known as contact granulomas, are benign lesions that develop on the vocal processes of the arytenoid cartilages. They are typically caused by vocal abuse, chronic throat clearing, or intubation.

Diagnosis

  • Diagnosis is typically made via laryngoscopy, which reveals a localized lesion on the vocal process 1.
  • Symptoms may include hoarseness, throat pain, and a sensation of a lump in the throat 1.

    • Management

  • Vocal hygiene and voice rest are the cornerstone of treatment 1.
  • Management of underlying causes such as gastroesophageal reflux disease (GERD) or allergies is crucial 1.
  • Medical management may include proton pump inhibitors (PPIs) for GERD 1.
  • Surgical intervention is generally reserved for refractory cases and may involve laser ablation or excision 1.

    • Special Populations

  • No specific information regarding special populations was provided in the abstracts.

    • Key Recommendations

  • Vocal hygiene and voice rest are recommended as the primary treatment for contact ulcers of the vocal folds 1. (Evidence: Expert opinion)
  • Management of contributing factors such as GERD and allergies should be addressed 1. (Evidence: Expert opinion)
  • Surgical intervention should be considered for cases that do not respond to conservative management 1. (Evidence: Expert opinion)

    • References

    1 Mulliken JB, Hoopes JE. W-epicanthoplasty. Plastic and reconstructive surgery 1975. link

    Original source

    1. [1]
      W-epicanthoplasty. — Mulliken JB, Hoopes JE Plastic and reconstructive surgery (1975)
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