Recurrent pyogenic granuloma in a noncompliant patient

January 21, 2014
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Laryngoscopic Clinic

Patients occasionally develop multiple recurrent granulomas even after excellent reflux control (including fundoplication), voice therapy, surgical removal (including steroid injection into the base of the granuloma), angiolytic laser therapy, and other treatments.

Stroboscopic examination of a 14-year-old boy with a 10-month history of dysphonia detected a sessile vocal fold mass that originated near the left vocal process and extended along the proximal one-third of the superior surface of the musculomembranous vocal fold. Examination also revealed the presence of reflux laryngitis.

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