The Journal of Laryngology & Otology

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OCTOBER 2008 HIGHLIGHTS

Review article: Squamous cell carcinoma of the nasal vestibule: a 20-year case series and literature review

Squamous cell carcinoma of the nasal vestibule is a rare disease with significant morbidity and mortality, and a five-year recurrence-free survival rate of between 42 and 92 per cent. Treatment options include radiotherapy or surgery for early lesions, but more advanced cases require radical surgery with post-operative radiotherapy. We present a case series spanning the last 20 years in one centre, and we compare this series with cases reported in the literature, paying particular attention to staging, treatment and outcome. Squamous cell carcinoma of the nasal vestibule should be staged carefully, and those tumours involving the deeper tissues should be treated by primary surgical excision followed by radiotherapy.

An endoscopic grading system for vocal process granuloma

Vocal process granuloma has many aetiologies, including laryngopharyngeal reflux, vocal abuse, chronic throat-clearing and cough, infection, and intubation trauma. Multiple treatment modalities are available, with variable success. There is no standardised grading system for vocal process granuloma. The vocal process granuloma grading system presented offers a standardised method for describing the endoscopic appearance of these lesions, and has excellent intra- and inter-rater reliability. Further study is needed to determine if this grading system is useful for assessing treatment outcomes and assigning prognosis for vocal process granuloma.

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