Vocal process granuloma

March 31, 2007
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Laryngoscopic Clinic
A 44-year-old nurse educator developed progressive hoarseness and vocal fatigue. He had experienced intermittent hoarseness for years, and his symptoms would worsen after long speaking engagements. He also complained of nocturnal cough and wheezing, as well as postnasal drip. Several months earlier, his primary care physician had started him on a proton-pump inhibitor twice daily.

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