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Granulomas may form with a chronic cough. These granulomas are on the false vocal cords.
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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.
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A capillary ectasia located within a polyp. On the vibratory edge this ectasia is easily ruptured causing hemorrhage into the polyp.
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Capillary ectasias and polyp - rather large, from rather aggressive chanting.
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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.
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She has a 25 pack year history of smoking. She has bilateral, very large, smoker's polyps which are interfering with her breathing and her voice. She is almost always called "sir" on the telephone. On the left she is breathing out, and on the right she is breathing in.
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She has been a half pack a day smoker for 47 years. There is a white spot on the right side - leukoplakia. This sits on the smoker's polyp on the right side. Making sound, the polyp moves to the top of the vocal cord and is barely visible.
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This female smoker in her 50s has a very deep, male voice. She has a 25 pack-year history of smoking cigarettes. Smokers polyps frequently sit on top of the vocal cords during phonation, so that she can close them all away together, even though they vibrate at a deep pitch.
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A 25 pack year smoker was not bothered by the deep pitch of her voice but her doctor suggested she get a check up for cancer. The clear polyp on the left vocal cord is filled with fluid and flips inward when she breathes in and flips upward when she phonates.