Vocal Cord Hemorrhage | UCI Head and Neck Surgery - UCI ENT Doctors - Otolaryngologists (2024)

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Vocal Cord Hemorrhage | UCI Head and Neck Surgery - UCI ENT Doctors - Otolaryngologists (6)

A vocal cord hemorrhage occurs when there is bleeding involving the superficial lamina propria. This is a thin layer of tissue composed of loosely arranged fibers that provide the vocal cords with the pliability that they need to vibrate during speech. It only takes a small amount of blood to interfere with the ability of the vocal cords to vibrate, so this type of hemorrhage is generally not life threatening.

What Causes a Vocal Cord Hemorrhage?

Vocal cord hemorrhages are typically the result of trauma to the vocal cords. The physical stress of sustained or loud talking can cause small blood vessels in the vocal cord to rupture. It is not unusual for vocal cord hemorrhages to occur after a strenuous musical performance or cheering at a sporting event. Conditions, such as laryngitis, can make the blood vessels more susceptible to rupturing. Individuals with polyps or weak areas within the walls of the blood vessels may also experience vocal cord hemorrhages.

Symptoms

A vocal cord hemorrhage is normally painless and does not interfere with breathing or swallowing. The most obvious symptom is hoarseness that usually develops quickly. In some cases, the symptoms of the hemorrhage are subtle and may only affect the singing voice.

Who is at Risk of a Vocal Cord Hemorrhage?

Vocal cord hemorrhages are most common among professional voice users, including teachers and singers. Individuals who take aspirin, clopidogrel, warfarin, or other blood thinners may also be at increased risk of vocal cord hemorrhages.

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Vocal Cord Hemorrhage | UCI Head and Neck Surgery - UCI ENT Doctors - Otolaryngologists (7)

Vocal Cord Hemorrhage | UCI Head and Neck Surgery - UCI ENT Doctors - Otolaryngologists (8)

Diagnosing Vocal Cord Hemorrhages

Since the blood is trapped under the mucosa of the vocal cords, it spreads throughout the superficial lamina propria. As a result, a part or all of the affected vocal cord turns red. Similar to a bruise, the tissue changes color from dark red to brown before eventually resolving. The by-products of resorption from repeated bleeds may give the vocal cords a yellow hue. In some instances, a dilated blood vessel or polyp may be visible and indicate the potential source of the bleed.

How Are Vocal Cord Hemorrhages Treated?

A single, isolated hemorrhage affecting the entire vocal cord is treated with voice rest to allow the blood time to reabsorb. This involves limiting or avoiding speaking altogether for several days. The patient should undergo repeat examinations to determine when they can resume normal voice use. Continuing to use the voice or using steroids to mask the effects of the hemorrhage may cause further injury, including scarring and permanent voice change.

Individuals who experience recurrent vocal cord hemorrhages should have their vocal cords carefully examined to isolate the underlying cause. Voice therapy may be beneficial if the hemorrhages are the result of harmful vocal habits that put an excessive amount of stress on the vocal cords. A surgery known as a microlaryngoscopy may be necessary if the bleeding is caused by an irregularity in the vocal cord or the blood vessels.

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Vocal Cord Hemorrhage | UCI Head and Neck Surgery - UCI ENT Doctors - Otolaryngologists (2024)

FAQs

What kind of doctor do you see for vocal cord damage? ›

Laryngologists are experts at diagnosing and treating vocal cord injuries. This includes injuries from overusing or misusing your voice. They can also treat injuries related to surgeries to your neck or throat.

What is the surgery for vocal cord hemorrhage? ›

Management of a hemorrhage is total voice rest to allow the blood to reabsorb. If an irregular blood vessel is noted to be the source of hemorrhage, in office laser surgery or microlaryngoscopy may be used to remove this blood vessel.

Does an ENT deal with vocal cords? ›

More commonly known as ear, nose and throat physicians (ENTs), Northwestern Medicine otolaryngologists specialize in the diagnosis, treatment and rehabilitation of diseases and disorders of the head and neck, including vocal cord polyps and nodules.

Is otolaryngology head and neck surgery the same as ENT? ›

Otolaryngology is a medical specialty which is focused on the ears, nose, and throat. It is also called otolaryngology-head and neck surgery because specialists are trained in both medicine and surgery. An otolaryngologist is often called an ear, nose, and throat doctor, or an ENT for short.

How long does it take for a vocal cord hemorrhage to heal? ›

In general, the primary treatment for a vocal fold hemorrhage is voice rest. On average, a discrete hemorrhage can completely resolve with 7 to 10 days of rest. Voice rest does not mean talking less; it means no talking (including whispering).

Can you fix permanently damaged vocal cords? ›

Can a paralyzed vocal cord be repaired? Sometimes, the vocal cords repair themselves. This may take months. With voice therapy, vocal cord injections or implants, your voice may get stronger and allow people to hear you better when you talk.

Can you talk after vocal cord surgery? ›

Typically, your physician will prescribe three to seven days of voice rest after surgery. This means absolutely no talking, throat clearing, whispering, or coughing (if you can avoid it). Any noise that you make can be damaging and may make it difficult for the vocal cords to heal properly.

Can you surgically remove vocal cords? ›

Removing the voice box (total laryngectomy)

Your surgeon might take out the whole of your voice box (larynx) to remove your cancer. This is called a total laryngectomy. They might also remove part of the pharynx. The pharynx is the area that starts behind the nose and ends at the top of the windpipe and food pipe.

What is the ENT test for vocal cords? ›

Laryngoscopy is an exam of the back of your throat, including your voice box (larynx). Your voice box contains your vocal cords and allows you to speak.

What is the most common ENT surgery? ›

Common Surgeries

Common procedures include eardrum repair (tympanoplasty), stapedectomy, and ear tube placement. Nose or nasal surgery – Nose surgery often aims to correct sinus problems, which can be caused by conditions such as sinusitis.

Which condition would an otolaryngologist treat? ›

An otolaryngologist, or ENT, is a healthcare specialist who treats conditions affecting your ears, nose and throat. They can also perform head and neck surgeries, including surgeries on your ears, mouth, throat, nose, neck and face.

What is the difference between a laryngologist and an otolaryngologist? ›

The leader of the voice care team is typically a surgeon who specializes in ear, nose, and throat medicine (otolaryngologist) or an otolaryngologist who has further subspecialized in the larynx, voice, and related problems such as swallowing (laryngologist).

How does an ENT doctor check your vocal cords? ›

Flexible laryngoscopy: The doctor uses a flexible laryngoscope (a thin, flexible instrument that lights and magnifies images) for a better view of the larynx and vocal cords. Often, doctors can do this in the office after giving a child numbing medicine.

How do you diagnose damaged vocal cords? ›

Diagnosis
  1. Laryngoscopy. Your health care provider looks at your vocal cords using a mirror or a thin, flexible tube (known as a laryngoscope or endoscope) or both. ...
  2. Laryngeal electromyography. This test measures the electrical currents in your voice box muscles. ...
  3. Blood tests and scans.
Jun 18, 2022

How do you treat vocal cord nerve damage? ›

Treatment may include voice therapy, surgery, or both. In some instances, you may get better without surgical treatment. For this reason, your doctor may delay surgery for six months to a year from the beginning of your vocal cord paralysis.

Can an ENT diagnose vocal cord paralysis? ›

Vocal fold paralysis is usually diagnosed by an otolaryngologist—a doctor who specializes in ear, nose, and throat disorders. He or she will ask you about your symptoms and when the problems began in order to help determine their cause.

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