Varices Increase Hemorrhage Risk in Vocal Fold Patients; Overall Risk Low

What is the risk of hemorrhage in patients with varices compared to those without?

Background: Vocal fold hemorrhage is an acute phonotraumatic injury caused by rupture of lamina propria blood vessels. Varices are generally considered to be especially fragile and prone to rupture due to phonatory vibration. The notion that varices should be addressed surgically appears to have evolved despite the absence of fundamental data regarding incidence of vocal fold hemorrhage and additional risk, if any, related to varices, making treatment efficacy and risk evaluation impossible.

Study design: Retrospective cohort study of 499 patients who were vocal performers presenting for care during a 24-month period.

Setting: Weill Cornell Medical College, New York.

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