Granuloma - Voice and Swallowing Doctor - Sunil Verma MDA granuloma of the vocal fold, or a vocal process granuloma, is an inflammatory lesion. These lesions typically occur on the back, or posterior, portion of the vocal folds.

Causes of a vocal fold granuloma may include:

  • Chronic voice overuse
  • Voice misuse
  • Intubation – placement of a breathing tube through the vocal folds can cause formation of granulomas
  • Vocal fold weakness – with strain, vocal process granuloma can occur

Symptoms of granulomas include:

  • Hoarseness
  • Rough voice
  • Vocal fatigue, or tiring with overuse
  • Chronic cough
  • Tickle in the throat

Diangosis of granuloma is made during laryngoscopy and stroboscopy.

Granuloma - Voice and Swallowing Doctor - Sunil Verma MD

Granulomas on both vocal folds are noted. This occurred after this patient was intubated for a short period of time. Steroid injections were necessary to reduce the size of these growths.

Treatment for Granuloma:

A vocal fold granuloma is first treated with voice rest, often times for weeks. This causes less stress on the vocal folds, allowing granulomas to heal.

A steroid injection into the granuloma may help decrease the size of the granuloma. This may be performed as an in-office procedure.

During surgery a granuloma may be easily removed. However, granulomas often quickly recur despite excision – thus surgery is reserved only in cases where a granuloma is large enough to cause shortness of breath.

Dr-Verma - Voice and Swallowing Doctor - Sunil Verma MD is an online resource for patients and physicians to learn more about common voice, swallowing, breathing and throat disorders. Throat complaints, from cough to cancer, are a common reason for patients to seek medical treatment. This website developed as a result of Dr. Sunil Verma's passions: that of education, patient care, and interest in technology.

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NOTE : The information presented on this site is for educational purposes only, and is not intended to replace consultation with a qualified physician. It may not be appropriate to your individual case, and should not be used in making treatment decisions, especially with regard to medication. Considerable effort is made to ensure that the information on this site is accurate, but medicine is a changing field, and this website is not responsible for errors or omissions. Use of this website acknowledges the above.

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