The primary differential diagnoses include amyloid, myxoma, spindle cell (sarcomatoid) squamous cell carcinoma, and contact ulcer
Chapter Three, "Organic Disorders," contains information about laryngitis, vocal nodules, fold polyps and cysts, oedema, reinke's oedema, contact ulcer
, granuloma, dysphonia plicae ventricularis, hyperkeratosis, vocal fold paralysis, post-radiotherapy, laryngeal papilloma, scarring of the vocal folds, spasmodic adductor dysphonia, laryngeal web, sub-mucous hemorrhages, sulcus vocalis and bowing of the vocal folds.
Contact ulcer is associated with vocal abuse, intubation, and acid regurgitation.
Contact ulcer usually appears as an ulcerated, polypoid, or nodular mass (figure, A), and it most often involves the posterior vocal fold.
The diagnosis of contact ulcer is usually based on both clinical and pathologic findings, as the histologic findings are often nonspecific.
With which of these statements regarding a larynx contact ulcer
would Thompson (Pathology Clinic) disagree?
Esophageal dysfunction in patients with contact ulcer of the larynx.
In 1968, laryngopharyngeal reflux (LPR)--that is, GERD that affects the larynx and pharynx--was described in relationship to contact ulcers and granulomas of the larynx.
The most common disorders resulting from vocal abuse and misuse are laryngitis, vocal nodules, vocal polyps, and contact ulcers.
Contact ulcers are a less common disorder of vocal abuse.
Treatment of laryngeal contact ulcers
and granulomas: A 12-year retrospective analysis.
18-24) LPR has also been reported to be associated with contact ulcers