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Excision and low-dose radiotherapy for refractory laryngeal granuloma

Published online by Cambridge University Press:  29 June 2007

G. Mitchell ,
C. R. Pearson ,
J. M. Henk  and
P. Rhys-Evans
G. Mitchell*
Affiliation:
Head and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK
C. R. Pearson
Affiliation:
Head and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK
J. M. Henk
Affiliation:
Head and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK
P. Rhys-Evans
Affiliation:
Head and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK
*
Address for correspondence: Dr G. Mitchell, Head and Neck Unit, Royal Marsden NHS Trust, Fulham Road, London
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Abstract

Laryngeal granulomas are uncommon lesions of an inflammatory origin. They are conventionally managed by simple excision with the occasional use of adjuvant treatment depending on the aetiological factors. Unfortunately, recurrences can occur, requiring repeated excision. Some lesions are refractory to this approach and alternative management approaches include excision and immediate adjuvant radiotherapy. The use of radiotherapy in the management of benign disease can be limited by the risk of induction of late malignancy and informed consent of a patient must include an assessment of this risk. We describe a case of refractory laryngeal granuloma successfully treated by excision and immediate radiotherapy in a patient occupationally dependent upon his voice.

Keywords

LarynxGranuloma, respiratory tractRadiotherapy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 5 , May 1998 , pp. 491 - 493
Copyright
Copyright © JLO (1984) Limited 1998

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