Surgery for vascular laryngeal lesions

Vascular lesions of the larynx are those created by phonotrauma resulting in subepithelial bleeding. These are typically divided into 2 categories, hemorrhagic polyps and fibrovascular lesions (vocal nodules). Both of these types of lesions can disrupt the natural vibration of the vocal folds and cause dysphonia. In those patients whose voices are their livelihood, complete removal with preservation of as much normal superficial lamina propria and squamous epithelium is paramount. Here, we describe proper in office assessment with stroboscopy, options for treatment, and techniques in surgical excision.