In this study, we reported 18 patients with post-intubation granulomas of the larynx who were treated in our clinic from July, 1971 to July, 1981. Fourteen out of 18 patients were female. Their ages ranged from 9 to 68 years. An average was 38.2 years. All were non-specific inflammatory granulomas. In all but one case, the lesions were at the site of the vocal process of arytenoid. Six of them were on the right, four on the left and seven on both sides. In the remaining one case, the lesion was developed in the subglottic area.
Twenty cases had their granulomas removed by laryngeal forceps through direct laryngoscope under local anesthesia, four by laryngomicrosurgery under general anesthesia and one was removed under indirect laryngoscopy. The remaining one which developed in the subglottic area was removed through laryngofissure approach.
The etiology of post-intubation granuloma of the larynx was discussed, and we emphasized that the abrasive action of the tube against the laryngeal mucosa caused by the movement of endotracheal tube or of the patient's larynx was thought to participate in the development of granuloma.
