Case study (multiple photos): A female elementary school music teacher in her 40s notes two years of loss of singing capabilities for five months after school starts. She has definate improvement over the summer when she uses her voice less. She has had problems with high soft singing for a longer period. She has voice fatigue.
This person had a general anesthetic. She lost her voice after the procedure. She was told that it was a difficult intubation. I suspect the shed a tear in her right vocal cord near the posterior edge. I believe these capillary ectasias formed during the healing process after this vocal cord trauma.