This video discusses surgical management of hemorrhagic vocal cord polyps and the expected outcome after surgery. It is the 2nd video in a two-part series on hemorrhagic vocal cord polyps, discussing both diagnosis and management. Hemorrhagic vocal cord polyps are typically caused by an acute vocal overuse. They consist of a fluid filled sac, most often on the vibrating edge of the vocal cord and almost always have a dilated blood vessel feeding blood to the polyp.
Various surgical techniques for removal of polyps are discussed including a programmable DEKA CO2 laser, a standard CO2 laser, scissors (also called cold steel removal). A Zeitels Universal Glottiscope or laryngoscope is used for surgery under general anesthesia. Office laryngeal excision is described and office laser (KTP or PDL) can be used. Postoperative muscle memory is described.