Hemorrhagic Vocal Cord Polyp Video

Vocal Cord Polyp and Bleeding Resulting from Traumatic Voice Use

Vocal cord nodules or "singer nodule" are benign (noncancerous) formations that can be seen in two vocal cords that arise due to improper use of the vocal tract. Especially voice artists, telephone counselors, teachers are seen to have long speech and vocalizations. When the bad words start to be used, soft, edematous areas appear on every vocal cord. When trauma to the vocal cords continues, these edible points become hardened and turn into nodules with round, smooth surface lesions.

Nodules can grow according to the duration and amount of vocal cord trauma.

Depending on the amount of trauma in the vocal cords, these round lesions may be attached to the vocal cord by attaching it to a handle. These lesions are called "vocal polyps". The formation of polyps also facilitates cigarette smoking, apart from the bad use of the vocal cords.

Nodules and polyps cause the following symptoms:

- abnormal voice changes / hoarseness
- unclear sound due to air escape between the sound lines when talking
- "rude" sound
- "sizzling" or "forked" sound
- rude sound
- pain due to force on the ears
- feeling "throat bump"
- due to intense muscle work, neck pain
- reduced "pitch" range
- sound and body fatigue

How does a vocal cord polyp occur?

Vocal cord polyps occur as a result of long-term trauma and damage to the vocal cord and are usually seen unilaterally. They cause bifurcation in the voice, decrease in voice quality and hoarseness. It causes changes at the mucous level and under the mucous membrane covering the vocal cords due to reasons such as misuse of the voice, reflux and smoking. Initially, vocal cord nodules with wide bases and raised from the surface appear; As a result of the bad use of the voice and the more pressurized slamming of the vocal cords (incorrect voice use), vocal cord polyps occur that are narrower at the base, more raised than the surface, sometimes stalked, and sometimes bleeding areas. Our vocal cords work roughly like a "whistle". When both vocal cords come close to each other (adduction), the air passing through is compressed when we exhale, vibrating the mucous membrane on the surface of the vocal cord and sound is produced. As we breathe in, the vocal cords diverge again (abduction), thus air fills our lungs. Edema, mucosal changes, nodules and polyps may occur in the vocal cords over time in people who have to talk all the time, work in a crowded environment, talk loudly, and sing. Even when breathing, some patients cannot separate the vocal cords from each other sufficiently, and a sound can be produced even during breathing (this is more pronounced in patients with bilateral vocal cord paralysis).

If you have veins in your neck while talking and you feel pain in your neck after speaking, consult an ENT specialist!

As a result of using the voice incorrectly and speaking excessively by banging the vocal cords together (as in dysphonia), patients may feel pain in the neck after a long speech, and it can be seen that the vessels in the neck region become prominent during speech. These patients may need to seek advice from a speech-sound therapist, and undergo therapy for voice training and breath control. For example, a teacher who teaches a lesson in a crowded classroom should pay attention to voice and breathing control, pay attention to his diet and avoid smoking-alcohol use in order to keep his vocal cords healthy. Before chronic changes occur in the vocal cords, it is important to break the vicious circle.

Recommendations to prevent vocal cord polyp and nodule formation

Stressful, bursty speech patterns can be noticed in most patients with speech disorders and hoarseness. It is appropriate to pay attention to the following suggestions that can reduce the trauma of the vocal cords, and for patients to participate in long-term voice therapy sessions if necessary:

- to think about the first word of the second sentence while speaking and to take a short breath in between
- videos on diaphragm exercises can be watched on YouTube. Breathing, even fast, after a few words in the form of dog breathing
- checking the neck checkers by standing in front of the mirror, trying to speak calmly while talking, seeing that the balls on the neck fade and lose their clarity, thus making long-term practices
- most of the patients have pressurized and explosive speech habits due to occupational or environmental factors. It would be beneficial to consult a long-term sound therapist or speech therapist. It is not easy to change the habit of incorrect use of the vocal cords!
- extending the interval between bedtime and last meal as much as possible (for example, not eating or drinking anything but water at least 3 hours before bedtime)
- avoiding diuretic teas, oily and spicy products, acidic ingredients at dinner can help relieve reflux
- If hoarseness is present for more than 15 days, examination by an ENT specialist may determine the vocal cord edema or nodule in the initial stage and plan the treatment. In this way, the development of vocal cord polyp as the next stage can be prevented.

Vocal cord polyp treatment and vocal cord polyp excision operation

Vocal cord polyp can be treated with microsurgical excision. The procedure can be done under general anesthesia. While the patient is lying on his back, the patient's head is tilted backwards, a special metal tube is inserted into the mouth and the vocal cords become visible. The external apparatus that fixes this tube is fixed on the patient's chest. Vocal cords can be evaluated with the help of a microscope or an endoscope. The procedure performed here is called Microlaryngeal surgery (MLS) or phonomicrosurgery. Microsurgical instruments and laser can be used during the procedure. Sometimes the same procedure can be performed with the differential diagnosis of vocal cord lesions and biopsy. This process of evaluating vocal cord lesions under the microscope is called microlaryngoscopy. After the treatment, it is necessary to pay attention to the recommendations written above in order to prevent the irritation of the vocal cord. Speech therapy after surgery also provides benefits.

Link group where you can find detailed information about vocal cord on this website >> https://www.ent-istanbul.com/search?q=vocal+cord
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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