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Laryngeal Contact Ulcer.
Head Neck Pathol. 2020 May 07 [Online ahead of print]HN

Abstract

A 47-year-old man presented to the otolaryngology service with complaint of 6 months of intermittent globus sensation. He reported constant throat clearing and subjective lowering of his voice. Flexible nasolaryngoscopy revealed a large pedunculated mass originating from the left vocal process of the arytenoid, lying superior to the vocal fold. The patient was treated conservatively with an anti-reflux regiment and speech language therapy for 2 months, however he noted marginal worsening in voice over the proceeding interval with an increasing raspy quality. He underwent suspension microlaryngoscopy with biopsy. Microscopic examination demonstrated mucosal epithelium with surface ulceration and considerable fibrinoid necrosis, a mixed inflammatory infiltrate, and abundant granulation tissue with reactive endothelial cells. The diagnosis of laryngeal contact ulcer was rendered. The patient was treated with KTP (potassium titanyl phosphate) laser ablation and corticosteroid microinjection; he tolerated the procedures well and on follow-up noted reduced cough, improving voice quality and no residual dysphagia.

Authors+Show Affiliations

Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA. benjamin.g.barrena.mil@mail.mil.Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA.Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32383044

Citation

Barrena, Benjamin G., et al. "Laryngeal Contact Ulcer." Head and Neck Pathology, 2020.
Barrena BG, Miller TM, Nelson BL. Laryngeal Contact Ulcer. Head Neck Pathol. 2020.
Barrena, B. G., Miller, T. M., & Nelson, B. L. (2020). Laryngeal Contact Ulcer. Head and Neck Pathology. https://doi.org/10.1007/s12105-020-01167-7
Barrena BG, Miller TM, Nelson BL. Laryngeal Contact Ulcer. Head Neck Pathol. 2020 May 7; PubMed PMID: 32383044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laryngeal Contact Ulcer. AU - Barrena,Benjamin G, AU - Miller,Tanner M, AU - Nelson,Brenda L, Y1 - 2020/05/07/ PY - 2020/04/21/received PY - 2020/04/24/accepted PY - 2020/5/9/entrez KW - Contact ulcer KW - Laryngeal contact ulcer KW - Laryngeal pyogenic granuloma KW - Larynx KW - Pyogenic granuloma KW - Vocal process granuloma JF - Head and neck pathology JO - Head Neck Pathol N2 - A 47-year-old man presented to the otolaryngology service with complaint of 6 months of intermittent globus sensation. He reported constant throat clearing and subjective lowering of his voice. Flexible nasolaryngoscopy revealed a large pedunculated mass originating from the left vocal process of the arytenoid, lying superior to the vocal fold. The patient was treated conservatively with an anti-reflux regiment and speech language therapy for 2 months, however he noted marginal worsening in voice over the proceeding interval with an increasing raspy quality. He underwent suspension microlaryngoscopy with biopsy. Microscopic examination demonstrated mucosal epithelium with surface ulceration and considerable fibrinoid necrosis, a mixed inflammatory infiltrate, and abundant granulation tissue with reactive endothelial cells. The diagnosis of laryngeal contact ulcer was rendered. The patient was treated with KTP (potassium titanyl phosphate) laser ablation and corticosteroid microinjection; he tolerated the procedures well and on follow-up noted reduced cough, improving voice quality and no residual dysphagia. SN - 1936-0568 UR - https://www.unboundmedicine.com/medline/citation/32383044/Laryngeal_Contact_Ulcer L2 - https://dx.doi.org/10.1007/s12105-020-01167-7 DB - PRIME DP - Unbound Medicine ER -
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