We describe a case of bilateral vocal process lesions in a 65-year-old man. His history was strongly suggestive of vocal process granulomas: previous gastroesophageal reflux, intubation, smoking, and oral squamous cell carcinoma. Medical management with a proton-pump inhibitor, reflux precautions, voice therapy, and adequate hydration yielded no results. Subsequent surgical intervention revealed that he had squamous papillomas. We also provide a brief review of vocal process granulomas and squamous papillomas.
HavasTE, PriestleyJ, LowingerDS. A management strategy for vocal process granulomas. Laryngoscope1999;109:301–6.
3.
GissmannL, DiehlV, Schultz-CoulonHJ, zur HausenH.Molecular cloning and characterization of human papilloma virus DNA derived from a laryngeal papilloma. J Virol1982;44:393–400.
4.
MountsP, KashimaH.Association of human papillomavirus subtype and clinical course in respiratory papillomatosis. Laryngoscope1984;94:28–33.
5.
StrongMS, VaughanCW, CooperbandSR, Recurrent respiratory papillomatosis: Management with the CO, laser. Ann Otol Rhinol Laryngol1976;85:508–16.
6.
CohenSR, GellerKA, SeltzerS, ThompsonJW. Papilloma of the larynx and tracheobronchial tree in children. A retrospective study. Ann Otol Rhinol Laryngol1980;89:497–503.
