Behavioral injury

Hemorrhagic vocal cord polyp

James P Thomas MD — Sat, 16 Feb 2013 01:05:15 +0000

Hemorrhagic vocal cord polyp

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.

Vocal cord bowing - presbyphonia

James P Thomas MD — Wed, 13 Feb 2013 22:56:26 +0000

Vocal cord bowing - presbyphonia

Leading a quiet life, the thyroarytenoid muscles atrophy. This leads to vocal cord bowing, also called presbyphonia.

Hemorrhagic vocal cord polyp

James P Thomas MD — Wed, 13 Feb 2013 19:21:01 +0000

Hemorrhagic vocal cord polyp

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.

Hemorrhagic vocal cord polyp

James P Thomas MD — Sat, 09 Feb 2013 01:35:00 +0000

Hemorrhagic vocal cord polyp

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.

Granulomas of the vocal cord

James P Thomas MD — Thu, 24 Jan 2013 01:05:22 +0000

Granulomas of the vocal cord

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.

Vocal nodules

James P Thomas MD — Wed, 23 Jan 2013 23:59:00 +0000

Vocal nodules

This patient 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.

post intubation granuloma

James P Thomas MD — Wed, 19 Dec 2012 22:23:00 +0000

post intubation granuloma

Granuloma still present five months after an endotracheal intubation.

vocal nodules

James P Thomas MD — Sat, 17 Nov 2012 03:18:00 +0000

vocal nodules

These are vocal nodules in a twentysomething vocal overdoer. She works in the food service industry and frequently sings on the job. The images are taken with a KayPentax 70° rigid endoscope at high definition.

High arytenoid granuloma

James P Thomas MD — Wed, 26 Sep 2012 22:06:00 +0000

High arytenoid granuloma

Right arytenoid granuloma from vocal overuse with an ulcer on the opposite side. These are located high on the medial margin of the arytenoid.

Laryngology 101: My vocal cord polyp

Site admin — Sun, 20 May 2012 20:47:42 +0000

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Laryngology 101: My vocal cord polyp

Doc, what should I do about my vocal cord polyp?

Laryngology: Muscle Tension Dysphonia - two meanings

Site admin — Sun, 20 May 2012 20:40:53 +0000

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Laryngology: Muscle Tension Dysphonia - two meanings

Muscle tension dysphonia is frequently used in two completely different ways in laryngology. I made this film in 2007 to distinguish 2 of the 3 ways the term "Muscle Tension Dysphonia" is used in my profession.

Vocal cord polyps at various pitches

Site admin — Sun, 20 May 2012 20:03:19 +0000

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Vocal cord polyps at various pitches

RIgid stroboscopy on person with vocal polyps. Note the onset delays as pitch increases and vocal cords tighten

Smokers polyps or Reinke's edema

Site admin — Sun, 20 May 2012 20:01:26 +0000

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Smokers polyps or Reinke's edema

Smokers polyps or Reinke's edema is caused by the combination of smoking and talking a lot. The voice is very deep because of the size of the polyps. You will see them suck inward when the patient takes a breath. After surgical removal, the vocal cords vibrate at a much higher pitch.

Laryngology 101 SD - Hemorrhagic vocal cord polyps, part I, HD version

Site admin — Fri, 18 May 2012 00:31:29 +0000

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Laryngology 101 SD - Hemorrhagic vocal cord polyps, part I, HD version

Diagnosing and treating vocal cord polyps by James P Thomas on voicedoctor.net. An example case of a patient with a hemorrhagic vocal cord polyp is covered from diagnosis to treatment. Other examples are reviewed.

vocal cord nodules recur after excision

James P Thomas MD — Fri, 11 May 2012 17:31:00 +0000

vocal cord nodules recur after excision

Elizabeth is in her 20s and began singing about 3 years ago. About 1 year ago, she noted some roughness in her singing voice. She loves to talk and rates herself a 7/7 on the talkativeness scale and a 7/7 on the loudness scale. Here are her vocal cords when I met her.