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December 1959

The Management of Intubation Granuloma

Author Affiliations

Tel-Aviv, Israel
From the Chest Hospital in Ber-Yakow of Malben-J.D.C. Services in Israel. The American Joint Distribution Committee receives its funds in the United States from the United Jewish Appeal.

AMA Arch Otolaryngol. 1959;70(6):788-792. doi:10.1001/archotol.1959.00730040802012

If a patient calls on the laryngologist with complaints of a change in voice or speech, distinct hoarseness, difficulties in breathing, or even dyspnea and if laryngoscopy reveals a growth at the site of the vocal cord(s), the laryngologist will associate his findings with a host of possible conditions, such as polyps, fibroma, papilloma, neurofibroma, nodules, adenoma, lymphogranuloma, squamous-cell hyperplasia, and hyperkeratoma. Further, he will not be able to dismiss the possibility of some malignant growth, tuberculosis, etc. Among all those possibilities, the plain benign polyp will predominate in frequency. If this is the case, the etiology will usually remain obscure or doubtful, except for a more or less probable surmise that there has been abuse of voice or speech, professional or otherwise. The suggested management will be physical rest and silence, and sometimes removal of the growth for therapeutic and/or diagnostic purposes.

With the inception of intratracheal intubation for