<prompt> Which of the following statements is not true for contact ulcer ?The commonest site is the junction of anterior l3rd and middle l3rd of vocal cord and gastroesophageal reflux is the causative factor.Can be caused by intubation injury.The vocal process is the site and is causedaggravated by acid reflux.Can be caused by adductor dysphonia.  <response>: Ans. is a i.e. The commonest site is the junction of the anterior l3rd and middle l3rd of vocal cord and gastroesophageal reflux is the causative factor.Ref. Scott-Browns Otolaryngology, 6the, volume 5th, p51 13Though gastroesophageal reflux is considered to be an aetiological factor, the commonest site for contact ulcers is not the junction of anterior 13 and mid 13 of the vocal cord. It is commonly located over the vocal processes of the arytenoid cartilage.Contact ulcers and accompanying granulomaNearly exclusively seen in men over the age of 30 yearsCommonly located over the vocal processesOften blSymptomsLow pitch quality of voice is the most pronounced feature Irritation and pain in larynxMultifactorial in etiologyVocal abuse most imp. Etiological factorProlonged intubation.Esophageal dysfunction such as gastroesophageal reflux, hiatus hernia, dysmotility 