Laryngeal contact ulcers are usually caused by voice-use trauma in the form of repeated sharp glottal attacks (abrupt loudness at the onset of phonation), often experienced by singers (see ). They may also occur after endotracheal intubation if an oversized tube erodes the mucosa overlying the cartilaginous vocal processes. Chronic cough Cough in Adults Cough is an explosive expiratory maneuver that is reflexively or deliberately intended to clear the airways. It is one of the most common symptoms prompting physician visits. (See also Cough... read more and gastroesophageal reflux disease The Professional Voice 
(GERD) may also cause or aggravate contact ulcers. Prolonged ulceration leads to vocal process granulomas Vocal Cord Polyps, Nodules, and Granulomas Acute trauma or chronic irritation causes changes in the vocal cords that can lead to polyps, nodules, or granulomas. All cause hoarseness and a breathy voice. Persistence of these symptoms... read more 
.
(See also Overview of Laryngeal Disorders Overview of Laryngeal Disorders The larynx contains the vocal cords and serves as the opening to the tracheobronchial tree. Laryngeal disorders include Benign laryngeal tumors Contact ulcers Laryngitis Laryngoceles read more .)
Symptoms of laryngeal contact ulcers include varying degrees of hoarseness, globus sensation, and mild pain with phonation and swallowing.
Diagnosis of laryngeal contact ulcers is by laryngoscopy. Biopsy to exclude carcinoma or tuberculosis should be considered.
Treatment of laryngeal contact ulcers requires managing the cause of the ulcers, which may include cough suppression (medical and/or behavioral), treatment of GERD Treatment Incompetence of the lower esophageal sphincter allows reflux of gastric contents into the esophagus, causing burning pain. Prolonged reflux may lead to esophagitis, stricture, and rarely metaplasia... read more 
, antibiotic/antifungal therapy, and speech rehabilitative therapy to improve vocal and cough hygiene. Patients should be examined at intervals to observe for healing.
Laryngeal contact ulcers carry a high risk of recurrence. Patients should be counseled that continuation of good vocal health habits is essential.
