Vocal Fold Granuloma Causing Acute Airway Obstruction in a Pediatric Patient

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Publication Details

Journal
Cureus
Published
2026-09-04
DOI
https://doi.org/10.7759/cureus.115794
Primary Topic
Voice and Speech Disorders
Type
article
Field-Weighted Citation Impact
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article

Vocal Fold Granuloma Causing Acute Airway Obstruction in a Pediatric Patient

Francesca Viola, Michele M. Carr, Brittani P. Kongala, Maaz S. Haji et al.
Cureus
Voice and Speech Disorders
article

Vocal Fold Granuloma Causing Acute Airway Obstruction in a Pediatric Patient

Francesca Viola, Michele M. Carr, Brittani P. Kongala, Maaz S. Haji, Monique Martin
article en

Abstract

Vocal fold granuloma (VFG) is a benign laryngeal lesion caused by mucosal trauma to the arytenoid cartilage.Pediatric VFG is rare and is most often associated with prolonged or traumatic intubation.We present the case of a seven-year-old male who developed a 1-cm pedunculated VFG following two separate brief intubations for minor procedures.The lesion produced a dynamic "ball-valve" effect, resulting in biphasic stridor, breathy dysphonia, and intermittent airway obstruction.While computed tomography (CT) imaging was inconclusive, laryngoscopy identified a pedunculated lesion prolapsing into the subglottis with nearcomplete intermittent glottic obstruction.The mass was successfully excised, and the patient was extubated after a short course of intravenous steroids with complete resolution of symptoms.This case emphasizes that VFG should remain in the differential diagnosis for pediatric patients presenting with stridor and airway compromise following even brief periods of intubation.

Cureus
Florida State University (US), Florida A&M University - Florida State University College of Engineering (US), Rosalind Franklin University of Medicine and Science (US)
Openalex Percentile: Top 11%
Voice and Speech Disorders
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Vocal Fold Granuloma Causing Acute Airway Obstruction in a Pediatric Patient — Francesca Viola, Michele M. Carr, et al. · Cureus (2026) | TGRS Research Map | TGRS