NONSPECIFIC LARYNGEAL GRANULOMA - A CASE-STUDY OF A PROFESSIONAL SINGER

A professional singer with laryngeal granuloma underwent surgery follo wing failed response to conservative treatments. Two primary findings emerged. First, although a sizable lesion was present initially, presu rgical voice measures were largely normal or superior. The exception w as elevated phonatory effort during singing. Second, postsurgical voic e functions were entirely normal or superior (including phonatory effo rt), despite demanding singing performances a few weeks following surg ery. The results add to the limited corpus of quantitative, normative- referenced data on voice in patients with granulomas and are inconsist ent with previous reports of voice abnormalities in such patients and poor functional response to surgery.