This work was supported by a grant from the Doris Duke Charitable Foundation to Columbia University Medical Center (C.J.L.). The authors have no other funding, financial relationships, or conflicts of interest to disclose.
Vocal fold hemorrhage: Factors predicting recurrence
Article first published online: 19 JUL 2013
© 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 1, pages 227–232, January 2014
How to Cite
Lennon, C. J., Murry, T. and Sulica, L. (2014), Vocal fold hemorrhage: Factors predicting recurrence. The Laryngoscope, 124: 227–232. doi: 10.1002/lary.24242
- Issue published online: 20 DEC 2013
- Article first published online: 19 JUL 2013
- Accepted manuscript online: 11 JUN 2013 04:13AM EST
- Manuscript Revised: 9 MAY 2013
- Manuscript Accepted: 9 MAY 2013
- Vocal fold;
- vocal fold paresis
Vocal fold hemorrhage is an acute phonotraumatic injury treated with voice rest; recurrence is a generally accepted indication for surgical intervention. This study aims to identify factors predictive of recurrence based on outcomes of a large clinical series.
Retrospective review of cases of vocal fold hemorrhage presenting to a university laryngology service. Demographic information was compiled. Videostroboscopic exams were evaluated for hemorrhage extent, presence of varix, mucosal lesion, and/or vocal fold paresis. Vocal fold hemorrhage recurrence was the main outcome measure. Follow-up telephone survey was used to complement clinical data.
Forty-seven instances of vocal fold hemorrhage were evaluated (25M:22F; 32 professional voice users). Twelve of the 47 (26%) patients experienced recurrence. Only the presence of varix demonstrated significant association with recurrence (P = 0.0089) on multivariate logistic regression.
Vocal fold hemorrhage recurred in approximately 26% of patients. Varix was a predictor of recurrence, with 48% of those with varix experiencing recurrence. Monitoring, behavioral management and/or surgical intervention may be indicated to treat patients with such characteristics.
Level of Evidence
4. Laryngoscope, 124:227–232, 2014