Structural Changes in Vocal Fold : Polyps


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Vocal Fold Polyp

A vocal fold polyp is a fluid-filled lesion. Most polyps have an active blood supply, which may account for their sudden onset and rapid increase in size. Although polyps most often occur unilaterally (on one vocal fold), they may also appear bilaterally and may present in sessile (blister-like) or pedunculated (attached to a stalk) forms. Like nodules, the cause of vocal fold polyps is thought to be acute vocal trauma or some form of voice abuse. However, most polyps occur in adults and these lesions are seen rarely in children. Vocal symptoms will vary significantly from mild to severe dysphonias (hoarseness) depending upon the type and location of the polyp Unlike nodules, polyps often require surgery, especially if rapid improvement is not seen following stringent voice conservation. The combination approach using phonosurgery and voice rehabilitation therapy is optimal.

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