Granulomas of the vocal cord
These vocal cord granulomas have been removed several times and have also fallen off several times and they tend to reform.
In his first view, he had had a granuloma remove six months earlier and then his voice became hoarse again.
One month later it had enlarged.
Triamcinolone, a steroid was injected into this large granuloma in the office.
One month later, the large granuloma has disappeared, perhaps falling off. He did not recall coughing it out.
One year later
four months later
one year later
this time he had surgery to excise the granuloma.
my suspicion is that the underlying problem is bowed vocal cords that allow the vocal processes to traumatically collide with one another.