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.
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.
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.
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.
He 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.