Vocal abuse is the best-known etiological factor in contact ulcer. Other factors, such as hiatus hernia and gastroesophageal reflux have been discussed. A 12-year study of 58 male patients (mean age 52 years) with present or previous contact ulcers, is reported. Forty-three patients were investigated with esophageal function tests, ie, esophageal manometry including pH monitoring, acid-perfusion test, and acid-clearing test. Esophageal dysfunction was found in 74% which is significantly higher than the 30% found in the general population.
Get full access to this article
View all access options for this article.
References
1.
JacksonC. Contact ulcer of the larynx. Ann Otol Rhinol Laryngol1928; 37: 227–30.
2.
JacksonCJacksonCL. Contact ulcer of the larynx. Arch Otolaryngol1935; 22: 1–15.
3.
PeacherGHolingerP. Contact ulcer of the larynx: II. The role of vocal reeducation. Arch Otolaryngol1947; 46: 617–23.
4.
HolingerPHJohnstonKC. Contact ulcer of the larynx. JAMA1960; 172: 511–5.
5.
Von LedenHMooreP. Contact ulcer of the larynx: Experimental observations. Arch Otolaryngol1960; 72: 746–52.
6.
BrodnitzFS. Contact ulcer of the larynx. Arch Otolaryngol1961; 74: 70–80.
7.
PeacherGM. Vocal therapy for contact ulcer of the larynx. A follow-up of 70 patients. Laryngoscope1961; 71: 37–47.
8.
CooperMNahumAM. Vocal rehabilitation for contact ulcer of the larynx. Arch Otolaryngol1967; 85: 41–6.
9.
BlochCSGouldWJ. Vocal therapy in lieu of surgery for contact granuloma: A case report. J Speech Hear Dis1974; 39: 478–85.
10.
BlochCSGouldWJHiranoM. Effect of voice therapy on contact granuloma of the vocal fold. Ann Otol Rhinol Laryngol1981; 90: 48–52.
11.
KleinsasserO. Mikrolaryngoskopie und endolaryngeale Mikrochirurgie. Technik und typische Befunde. Stuttgart, New York: FK Schattauer Verlag, 1976, 139–42.
12.
WardPHZwitmanDHansonDBerciG. Contact ulcers and granulomas of the larynx: New insights into their etiology as a basis for more rational treatment. Otolaryngol Head Neck Surg1980; 88: 262–9.
13.
CherryJMarguliesSI. Contact ulcer of the larynx. Laryngoscope1968; 78: 1937–40.
14.
DelahuntyJECherryJ. Experimentally produced vocal cord granulomas. Laryngoscope1968; 78: 1941–7.
AreskogM. Angina-like chest pain. A study with special reference to oesophageal dysfunction and ischaemic heart disease. [Medical Dissertation No. 90]. Linköping: Linköping University, 1980.
TibblingL. Oesophageal dysfunction and angina pectoris in a Swedish population selected at random. Acta Med Scand1981; Suppl 644: 71–4.
19.
BelseyR. The pulmonary complications of oesophageal disease. Br J Dis Chest1960; 54: 342–8.
20.
UrschelHCPaulsonDL. Gastroesophageal reflux and hiatal hernia. Complications and therapy. J Thorac Cardiovasc Surg1967; 53: 21–32.
21.
JensenRLauermanLHBraddyPM. Laryngeal contact ulcers in feedlot cattle. Vet Pathol1980; 17: 667–71.
22.
Svenska folkets rökvanor 1976. Results from a study made by the Swedish Institute for Public Opinion Research on behalf of the Swedish Association of Nonsmokers and the insurance company Trygg Hansa.
