Contact (pyogenic) granuloma of the larynx is a relatively rare but stubborn disease. Elucidation of the etiological factor of their development is of basic importance for the treatment of contact granulomas. From this aspect granulomas are divided into hyperfunctional, peptic, postuntibational and idiopathic granulomas. Based on the evaluation of treatment of their own group of patients and data in the literature the authors recommend patterns of treatment modified for each of the above mentioned groups.

        Key words: contact (pyogenic) granuloma of the larynx, gastrooesophageal reflux, direct laryngoscopy