A Case of Laryngeal Granuloma Successfully Treated with Kairosan
10.3937/kampomed.59.297
- Author:
Nobuyasu SEKIYA
;
Takao NAMIKI
;
Yuji KASAHARA
;
Toru OKAWA
;
Atsushi CHINO
;
Kenji OHNO
;
Yoshiro HIRASAKI
;
Katsutoshi TERASAWA
- Publication Type:Journal Article
- Keywords:
laryngeal granuloma;
abnormal sensation in the throat;
kairosan;
Kampo treatment
- MeSH:
Granuloma;
recur;
Red color;
Granuloma, Laryngeal;
Medicine, Kampo
- From:Kampo Medicine
2008;59(2):297-301
- CountryJapan
- Language:Japanese
-
Abstract:
Laryngeal granulomas which grow in the rear of the vocal cords can be a refractory and recurrent condition, because of various pathogeneses and a lack of established treatment guidelines. We experienced a laryngeal granuloma case which recurred repeatedly, and was resistant to modern medicinal treatment. The laryngeal granuloma recurred after microlaryngosurgery. And though a second microlaryngosurgery and laser cauterization was done, followed by prescription of lansoprazole, tranilast, chlarithromycin and inhalation of fluticasone propionate, the laryngeal granuloma recurred once more. Thus, we tried Kampo medicines at the this time. Hangekobokuto, saishakurikkunshito and keikyososooushimbuto were stopped due to lack of efficacy on the ganuloma, and the Kampo formulation was changed to kairosan. Three weeks after changing formulation, the granuloma was no longer seen with laryngeal fiberscopy. And to-date, recurrence of the granuloma has not been confirmed. This case suggests that fatigue, body weight loss, bilateral Kyokyo-kuman (discomfort of the hypochondrium), bilateral excessive strain of abdominal muscles, pulsation of both the upper and lower navel, and tympanitic sound in upper abdomen may be clinical indications for kairosan.
