J Korean Soc Laryngol Phoniatr Logoped.  2021 Apr;32(1):39-42. 10.22469/jkslp.2021.32.1.39.

Dysphagia Caused by Giant Granuloma Arising from the Oropharyngeal Posterior Wall

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital, Hwasun, Korea

Abstract

Granuloma is an uncommon benign disease that develops in the process of wound healing. Pharyngeal or laryngeal granuloma can be associated with gastric reflux, mechanical injury or trauma including intubation, voice abuse, or foreign body. 50-year-old female was transferred to our institute with a huge mass occupying the upper aerodigestive tract causing dysphagia. The patient has been suffering from a brain hemorrhage for several months and was kept in bed due to the quadriplegia with stuporous mental status, and was tracheotomized. On examination, the whole oropharynx and hypopharynx was covered by a smooth-surfaced soft big diffuse granular mass, which extended down to the upper trachea through the larynx. The huge granuloma was successfully removed with surgery and was found to have a pedunculating stalk on the oropharyngeal posterior wall with a small mucosal defect, suggestive of the origin of the mass. The defect was closed primarily after the cauterization. The patient is now followed up regularly without any recurrence of the disease.

Keyword

Granuloma; Oropharynx; Laryngopharyngeal reflux; Wound and injuries; Deglutition disorders; 육아종, 인두, 인후두역류, 상처, 연하 장애
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