Reinke's Edema - Smoker's Polyp
This female smoker in her 50s has a very deep, male voice. She has a 25 pack-year history of smoking cigarettes. Smokers polyps frequently sit on top of the vocal cords during phonation, so that she can close them all away together, even though they vibrate at a deep pitch.
When she breathes in, the polyps are sucked off the top of the vocal cord, inward towards each other.