Contact granuloma is a growth of inflammatory tissue that forms on the vocal process of the arytenoid cartilage—where the vocal folds come together—typically due to repeated irritation. This irritation can come from forceful voice use, chronic throat clearing, or acid reflux. Patients often feel a tickle or lump in the throat, persistent hoarseness, and pain when speaking, usually on one side. Over time, the lesion can grow and become large enough to affect vocal quality or breathing. It often develops gradually in people who speak loudly, forcefully, or for long periods, especially men.
Treatment usually begins in the office. Voice therapy is recommended to reduce strain, and patients are started on aggressive acid reflux control. Inhaled or injected steroids may be used to reduce inflammation. In some cases, Botox injections into the vocal muscles are offered to temporarily relax the area and allow healing. If the granuloma is large, painful, or obstructing the airway, it may be removed surgically under general anesthesia. The granuloma can also be precisely treated with a blue laser or KTP laser, either in-office or in the operating room. Recovery involves voice rest, reflux management, and regular monitoring to prevent recurrence.
Contact Granuloma
Contact Granuloma