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Acute Vocal Fold Hemorrhage: Retrospective Analysis in a Voice Unit
Valentina P Cordano1, Matías L Álvarez1, José M Cabrera1
1Otolaryngology Department, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Journal of Voice : Official Journal of the Voice Foundation
|September 30, 2022
Summary
Vocal fold hemorrhage (VFH) is uncommon. Most patients experienced dysphonia and fatigue, often with other vocal fold lesions. Voice rest improved symptoms and imaging in this study.
Area of Science:
- Otolaryngology
- Voice Science
Background:
- Vocal fold hemorrhage (VFH) is a phonotraumatic condition affecting the vocal folds.
- Understanding its diagnosis, management, and evolution is crucial for voice care.
Purpose of the Study:
- To describe the experience with adult patients diagnosed with vocal fold hemorrhage (VFH).
- To analyze the diagnosis, evaluation, management, and evolution of VFH cases.
Main Methods:
- Retrospective chart review of adult patients diagnosed with VFH between 2012 and 2020.
- Data collected included demographics, vocal history, symptoms, videostroboscopy findings, treatment, and follow-up.
Main Results:
- 34 adult patients were included; 52.9% were female, with a mean age of 42.
- Dysphonia and vocal fatigue were primary symptoms. 76.5% had VFH with a concomitant lesion, most commonly a hemorrhagic polyp.
- Voice rest led to significant improvement in voice-related quality of life (VRQOL-STD, VHI-10) and videostroboscopic resolution in 66.7% of cases.
Conclusions:
- Vocal fold hemorrhage is an infrequent phonotraumatic condition.
- Further research is needed due to conflicting evidence on predisposing factors, evolution, and prognosis.
