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A granuloma on the vocal fold or vocal process is inflammatory growth which occurs on the posterior, or back portion, of the vocal folds known as the vocal process. A vocal process granuloma is inflammatory tissue along the vocal process, and is thought to be a result of vocal overuse and inflammation. Patients with granulomas may experience a tickle in the throat sensation, hoarseness, cough, and vocal fatigue or tiring while speaking. Other symptoms of a granuloma include throat clearing or a feeling of something stuck in the throat.

A vocal process granulomas may be present after placement of an endotracheal tube, such as during surgery. Granulomas may also be associated with reflux disease.

Treatment of this condition includes management of acid reflux from the stomach, use of steroid injections or inhalers and occasionally resection of treatment with lasers. First line treatment for this involves procedures which can be performed in the office including vocal fold injections performed with the patient awake.

If you have been diagnosed with a vocal fold granuloma and would like treatment please contact Dr. Sunil Verma, director of the University Voice and Swallowing Center, at (714) 456-7017 for an appointment.