Vocal Cord
Granuloma
Granulomas, or vocal ulcers, can be caused by
laryngopharyngeal
reflux disease, voice abuse, and excessive
throat clearing or coughing. A direct trauma to
the vocal cords - intubation for example - can
also cause granulomas.
Main symptoms include the constant feeling that
something is in your throat or the persistent
need to clear your throat. A husky voice and pain
are less common symptoms.
Treatment includes inhaled steroids and anti-reflux
medication along with voice therapy. If symptoms
persist, a botulinum
toxin (botox) injection - used to weaken the
muscles of the vocal cord - is used. Surgery,
using an operating
microscope, is reserved as a last resort if
all other treatment options fail.
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