Treatment of laryngeal granuloma in Germany
Modern approaches to the treatment of laryngeal granuloma: from differential diagnosis to minimally invasive surgery
Laryngeal granuloma is a benign formation on the mucous membrane of the vocal folds or arytenoid cartilages, often occurring after trauma or intubation. The RheinRegio Klinik Zentrum uses minimally invasive methods for removing granulomas while preserving voice function and preventing relapses.
Symptoms of laryngeal granuloma
Main manifestations:
- Hoarseness or intermittency of the voice (the main symptom).
- Sensation of a foreign body in the throat.
- Pain when speaking or swallowing.
- Dry cough (due to irritation).
- Less commonly, difficulty breathing (for larger sizes).
Important: The symptoms are similar to laryngitis, but with granuloma they do not go away on their own.
Diagnosis of laryngeal granuloma at RheinRegio Klinik Zentrum
To make an accurate diagnosis, carry out:
- Endoscopy of the larynx (flexible or rigid laryngoscope).
- Stroboscopy – assessment of vibrations of the vocal folds.
- Biopsy (if malignancy is suspected).
- pH-metry – exclusion of reflux laryngitis.
Each direction is supervised by advanced oncologists.
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Classification and stages of laryngeal granuloma
- Postintubation – after prolonged mechanical ventilation.
- Contact – due to chronic injury to the vocal folds (singers, teachers).
- Inflammatory – due to reflux or infections.
Risk groups:
- People with voice workload (lecturers, actors).
- Patients after laryngeal surgery.
- Suffering from GERD (acid irritates the mucous membranes).
Treatment methods for laryngeal granuloma
Conservative therapy (for small granulomas):
- Voice rest (2-4 weeks).
- Inhalations with corticosteroids.
- Reflux treatment (proton pump inhibitors).
- Speech therapy exercises.
Surgical removal (in difficult cases):
- Endoscopic microsurgery is precision excision under a microscope.
- Laser vaporization (CO₂ laser) is a bloodless method.
- Cryodestruction – to minimize scars.
Important: The operation lasts 15-30 minutes and is performed under general anesthesia.
Our clinics
The association of clinics RheinRegio Klinik Zentrum offers the organization of treatment of laryngeal granuloma in Germany without intermediaries, providing access to the country’s leading oncology clinics. We combine advanced techniques, an individual approach and the highest level of medical care, giving hope even in difficult cases.
Why RheinRegio Klinik Zentrum?
- Painless procedures – gentle anesthesia is used.
- No scars – microsurgical techniques are used.
- An integrated approach – treating the cause, and not just removing the granuloma.
- Experienced phoniatrists and ENT surgeons are specialists in voice pathologies.
- Expert class endoscopic equipment – Karl Storz, Olympus.
Relapse prevention:
- Correction of voice load.
- Treatment of concomitant diseases (GERD, allergies).
- Rehabilitation with a speech therapist – voice restoration in 2-3 weeks.
