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After neck surgery 20 years ago, he developed a weak voice from a left sided paralyzed vocal cord. Five months ago Teflon was injected into the left vocal cord for a left paralyzed vocal cord. His voice has gotten worse since the injection.
Granulomas are wound healing lesions. They occur as a result of trauma which denudes the mucosa and exposes the underlying tissue to the bacteria of the throat. They typically start off life as an ulceration and are associated with pain frequently.