抄録
Laryngeal granuloma is a lesion with a great tendency to recur. The optimal treatment of this disease remains controversial. This study evaluates the therapeutic results of voice therapy over a period of three years. The case group consisted of thirteen patients with laryngeal granuloma, 10 male and 3 female with a mean age of 54.1 years. Six patients had undergone one or more microlaryngeal surgical treatments before receiving voice therapy. The accent method of voice therapy was conducted for the patients with a complimentary conservative approach including dietary and medical therapy for gastroesophageal reflux. Ten patiants (77%) had complete resolution of granulomas and the others had partial resolution. No recurrence has been observed in the patients who had achieved complete dissapearance of the granulomas. Phonatory functions were examined before and after the voice therapy. Fundamental frequency showed a decrease following the therapy. Whereas, maximum phonation time, intensity, AC/DC ratio, mean flow rate, and subglottal pressure showed little change. These results support the voice therapy as a mainstay of treatment for laryngeal granuloma.
