A granuloma of the vocal fold, or a vocal process granuloma, is an inflammatory lesion. These lesions typically occur on the back, or posterior, portion of the vocal folds.
Granulomas on both vocal folds are noted. This occurred after this patient was intubated for a short period of time. Steroid injections were necessary to reduce the size of these growths.
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 in cases where a granuloma is large enough to cause shortness of breath.