Hemorrhagic polyp is a vocal polyp that looks like a “blood blister” on the vocal cord. It may occur because of acute vocal trauma—sudden and extreme overuse of the voice—and may result in abrupt and fairly severe hoarseness that is persistent. In time, the blood may resorb and leave a translucent polyp; this kind of polyp may be prone to re-bruising intermittently.
Small hemorrhagic polyps may heal on their own, but usually require many months to do so. Larger ones should be surgically removed. Fortunately, the prognosis for full recovery after surgery is excellent.
A Hemorrhagic Polyp that is Pedunculated (attached by a “stalk”)
The thulium or other videoendoscopy lab (office-based) laser can be used for vocal cord injuries in persons who will not or cannot undergo general anesthesia. Reasons that patients might choose this options include severe medical issues such as:
- Heart disease that makes general anesthesia risky
- Morbid obesity
- Severe phobia of general anesthesia
- Anatomy that makes operative (O.R.) laryngoscopy difficult or impossible; enormous torus mandibularis, extreme retrognathism, kyphosis, and trismus are some examples.