Ettori Jacopo, D'Onghia Alessandra, Pignataro Lorenzo, Cantarella Giovanna
Otolaryngology Department Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy.
Department of Clinical Sciences and Community Health Università` degli Studi di Milano Milan Italy.
Clin Case Rep. 2020 Sep 29;8(12):3628-3629. doi: 10.1002/ccr3.3387. eCollection 2020 Dec.
Laryngeal granulomas are ascribed to laryngopharyngeal reflux, voice abuse, and endotracheal intubation, but their pathogenesis is controversial. A recurrent giant granuloma causing dyspnea occurred after a severe psychological stress and was successfully treated by surgery, steroid injection, and psychotherapy. This case highlights the role of psychological stress in granulomas pathogenesis.
喉肉芽肿归因于喉咽反流、用嗓过度和气管插管,但其发病机制存在争议。一例复发性巨大肉芽肿在严重心理应激后导致呼吸困难,通过手术、类固醇注射和心理治疗成功治愈。该病例突出了心理应激在肉芽肿发病机制中的作用。