Logopedic treatment in laryngeal granuloma: perspectives and results
Chiara Mezzedimi, Maria Luigia Tomai Pitinca, Francesca Mansi, Walter Livi, Paola Staffa
Laryngeal granuloma, the most common lesion of the posterior glottis, is mainly caused by vocal abuse, intubation and gastroesophageal reflux. Current therapeutic options, possibly guided by etiology, involve botulinium toxin injection, speech therapy and surgical or medical therapies. The choice of a speech therapy approach is controversial and varied. In the present study, the «modified Bergamini-Luppi» protocol, integrated with exercises inspired by the proprioceptive-elastic method, has been proposed to 26 patients. Our analysis shows that the proposed approach has an effective outcome in the majority of cases. The granuloma was expelled in the fifth or to the utmost within the eighth session in all treated patients. Only one patient had a contralateral recurrence. In our experience, the application of this protocol has shown positive results, with the resolution of the disease and the absence of recurrence in almost all cases.
Keywords
Laryngeal granuloma, Bergamini-Luppi modified, PROEL.