KOICHI OMORI, MD; TOMOKO TSUJI, MD; MASARU YAMASHITA, MD; KEIKO MAEKAWA SHINOBU IWAKI
KOBE, JAPAN

We present the outcome of treatment for laryngeal contact granuloma using local phonosurgery associated with voice therapy. Twenty-six contact granuloma cases were involved in this study. Under local anesthesia, videoendoscopic-assisted laryngeal surgery with office-based equipment was undertaken. During surgery, the patient's voice and vocal folds were monitored and evaluated for functional control. Voice therapy using a modified version of the "accent method" was repeated for a period of 6 to 12 months. In 5 patients with symptoms of gastroesophageal reflux, proton-pump inhibitors or gastro prokinetics were given. The lesion completely resolved in 22 of the 26 cases. Three patients had tiny scars, and 1 patient had a residual lesion. According to acoustic, aerodynamic, and perceptual analyses, vocal function was improved. Videoendoscopic examination showed improvements of hyperfunctional constriction of the supraglottis. Local phonosurgery associated with voice therapy is effective in the treatment of laryngeal contact granuloma.