声带肉芽肿是良性病变 ,但其频繁复发使病人和经治医师均感失望。它最常发生于一侧或双侧杓状软骨声带突 ,现因包括气管内插管 ,滥用嗓音、习惯性清喉、胃食管返流、低音调发声以及身心疾病等。最近提出机械性病因 ,认为声带突之间的浅表溃疡及声带肉芽肿是“锤与砧”的活动结 Vocal cord granuloma is a benign lesion, but frequent recurrences disappoint both the patient and the physician. It most commonly occurs on one or both arytenoid cartilage vocal folds, including endotracheal intubation, abuse of voice, habitual laryngeal, gastroesophageal reflux, bass sounds and physical and mental illness. Recently put forward the mechanical cause, that between the superficial ulcers and vocal cord granuloma is the “hammer and anvil” activity knot