, also known as a contact ulcer
, is a condition where an ulcer is found in the vocal folds
. The most common cause of the condition is sustained periods of increased pressure on the vocal folds, and is commonly seen in people who use their voice excessively. Gastroesophageal reflux disease
is also thought to be a contributing factor in the development of contact ulcers.
or acute hoarseness
of the voice, vocal fatigue, and throat pain are the primary symptoms.
Diagnosis of contact ulcers normally involves an endoscopy
examination, and a biopsy
sample is taken so that the ulcer can be examined for cancerous cells
If forceful speaking is the primary cause, treatment involves resting the vocal cords
for as long as six weeks, normally followed by vocal therapy so that the patient can be taught how to correctly use the voice. Surgery is also done to remove the ulcers, but this is often considered a last resort as recurrence is common.
In cases where contact granuloma is caused by gastroesophageal reflux disease, treatment for it is often initiated.