VOCAL PROCESS GRANULOMATA

The case records and histology of 34 patients with vocal process granu lomata were reviewed. The five patients presenting most recently with idiopathic vocal process granulomata were investigated by axial comput erized tomography (CT). Increased density of the arytenoid cartilage o n the side of the lesion was found in all five cases. It is suggested that this indicates cartilage ossification, secondary to periochondrit is. This perichondritis, playing either a primary or a secondary role in granuloma development, may explain the annoying tendency of vocal f old granulomata to recur after excision.