대한후두음성언어의학회지 (Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics)

  • 제32권3호
  • /
  • Pages.135-141
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  • 2021
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  • 2508-268X(pISSN)
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  • 2508-5603(eISSN)
대한후두음성언어의학회 (The Korean Society of Laryngology, Phoniatrics and Logopedics. )
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삽관성 육아종과 접촉성 육아종에 대한 치료 결과 분석

Treatment Results of Vocal Process Granuloma: Intubation Versus Contact Granuloma

  • 정진욱 (가천대학교 의과대학 길병원 이비인후과학교실) ;
  • 오재환 (가천대학교 의과대학 길병원 이비인후과학교실) ;
  • 김슬 (가천대학교 의과대학 길병원 이비인후과학교실) ;
  • 김동영 (가천대학교 의과대학 길병원 이비인후과학교실) ;
  • 우주현 (가천대학교 의과대학 길병원 이비인후과학교실)
  • Jeong, Jin Uk (Department of Otohinolaryngology-Head and Neck Surgery, Gachon University College of Medicine, Gil Medical Center) ;
  • Oh, Jae Hwan (Department of Otohinolaryngology-Head and Neck Surgery, Gachon University College of Medicine, Gil Medical Center) ;
  • Kim, Seul (Department of Otohinolaryngology-Head and Neck Surgery, Gachon University College of Medicine, Gil Medical Center) ;
  • Kim, Dong Young (Department of Otohinolaryngology-Head and Neck Surgery, Gachon University College of Medicine, Gil Medical Center) ;
  • Woo, Joo Hyun (Department of Otohinolaryngology-Head and Neck Surgery, Gachon University College of Medicine, Gil Medical Center)
  • 투고 : 2021.12.02
  • 심사 : 2021.12.09
  • 발행 : 2021.12.31
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초록

Background and Objectives Vocal process granulomas (VPGs) are benign lesions of the larynx, typically contact granulomas (CG) and intubation granulomas (IG). The two diseases are known to have different clinical manifestations despite having the same pathological features. The purpose of this study was to analyze the treatment results for CG and IG and to obtain clinical information. Materials and Method We retrospectively reviewed the medical records of patients diagnosed with VPG between January 2015 and December 2018. The patient's age, sex, medical history, lesion size, lesion type, reflux finding score, response to treatment, duration of treatment, and follow-up period were compared. Results In total, 32 patients were included in the study, of which 18 were CG and 14 were IG. In the CG group, males were dominant (n=15, 83.3%), whereas in the IG group, females were dominant (n=11, 78.6%) (p=0.0009). The response to medical treatment using proton pump inhibitor and steroid inhaler was better in the IG group (11/14, 78.6%) than in the CG group (7/18, 38.9%) (p=0.036). Of the 14 patients who did not respond to medical treatment, 5 received botulium toxin injections, and all 5 had complete remission. The duration of medical treatment was significantly longer in the IG group (p=0.0029). Conclusion IG was more common in female, and CG was more dominant in male. IG had better response to medical treatment using proton pump inhibitor and steroid inhaler than CG.

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참고문헌

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