Introduction Laryngeal
granulomas are benign, recurrent lesions of many causes (reflux, voice abuse, intubation, and idiopathic), which renders its treatment difficult. Objective To describe our experience in the treatment of
laryngeal granulomas. Methods From 16 medical records of the patients with
laryngeal granulomas seen between 2010 and 2017 in a university hospital, the following data were analyzed: age, gender, vocal and gastroesophageal symptoms, vocal overuse, intubation, treatments, videolaryngoscopy before and after the treatment. Results Gender: female, 10; male, 6. Age: between 20 and 60 years old (11). Etiology of the
granulomas: intubation (9), reflux (4), idiopathic (3). The initial treatments adopted in all cases were: inhaled
beclomethasone dipropionate 100 µg 12/12 hours (1 month),
proton pump inhibitor,
omeprazole 40 mg/day (2 months), and dietary and voice education. After this period, 10 patients (7 postintubation, 3 idiopathic) were submitted to surgery, since no improvements in the symptoms or in the lesions were seen. Of these, two recurred, requiring a second surgery, one of which recurred six times and received
botulinum toxin A. Only one patient with
granulomas due to
laryngopharyngeal reflux presented no improvement in the symptoms nor in the lesion after the pharmacological treatment and had been submitted to microsurgery. All of the other patients with reflux
granulomas were successfully treated with the
drug treatment, and the longest treatment time for complete remission of the symptoms and of the lesions was 9 months. Conclusions In
laryngeal granulomas caused by reflux, treatment with inhaled
steroids and
proton pump inhibitors proved to be effective, although prolonged. In postintubation and idiopathic
granulomas, surgery was the best treatment.