A vocal cord granuloma is an inflammatory growth. Vocal cord granulomas typically occur on the back, or posterior, portion of the vocal folds.
Left: Granulomas on both vocal cords causing hoarseness. This occurred after intubation.
Right: Vocal cords after steroid injections - granulomas have resolved. The patient's voice returned back to normal.
A vocal fold granuloma is first treated with voice rest, often times for weeks. This causes less stress on the vocal folds, allowing granulomas to heal.
A steroid injection into the granuloma may help decrease the size of the granuloma. This may be performed as an in-office procedure.
During surgery a granuloma may be easily removed. However, granulomas often quickly recur despite excision – thus surgery is reserved only for special situations.