Talkative female in her mid 50's who has smoked about 2 1/2 packs per day for more than 40 years. She can barely make her vocal cords vibrate. 20 years ago she had some type of vocal cord surgery where her vocal cords were "scraped." The polyps sit on the top surface of her vocal cords and are almost not visible in the sense that they do not stand out from the cords, but when she breathes in, the polyps suck into the airway.
She underwent office KTP laser reduction of the smokers polyps. She has continued to smoke cigarettes. Vocal cords after the laser treatment: