Behavioral injury

Hemorrhagic vocal cord polyp, bilobed, on the right vocal court

Two years ago he developed a hoarse voice. His ENT physician told him that he had vocal nodules and sent him to speech therapy. When I met him, here were his vocal cords. My experience is that a hemorrhagic vocal cord polyp usually is the result of a vocal accident. I don't find that hemorrhagic polyps respond to therapy.

Vocal cord bowing - presbyphonia

Leading a quiet life, the thyroarytenoid muscles atrophy. This leads to vocal cord bowing, also called presbyphonia.

Hemorrhagic vocal cord polyp on the left side with secretions sticking on the right

This is a hemorrhagic vocal cord polyp that came on after a cold and a severe cough in a person who is already very talkative with a bit of a raspy voice. She completely lost her voice for several days before it came back as a very rough voice. This first photo is taken with a Pentax chip endoscope at standard definition.

Right hemorrhagic vocal cord polyp

He woke up one day with a sudden change in his voice sounding like he had re-entered puberty. His voice continued to crack and break up. I noted a right hemorrhagic vocal cord polyp on the endoscopic examination. Three months later his voice had improved on its own.

Vocal cord granuloma

These vocal cord granulomas have been removed several times and have also fallen off several times and they tend to reform.  

Bilateral vocal nodules viewed with false color imaging with a Pentax high definition endoscope

This patient noted discomfort with singing. The vocal cord swellings which are also known as nodules require that he hold the vocal cords slightly apart. This allows air leak, impairs his upper vocal range and creates a muscle tension with the resulting discomfort during singing.