A pseudocyst is a fluid-filled swelling that appears on the vocal fold surface, often fluctuating in size depending on vocal use. It typically develops from overuse and may improve with rest. In contrast, a fibrovascular lesion is a firmer, more organized growth that develops from chronic irritation and contains fibrous and blood vessel components. These lesions may cause hoarseness, vocal fatigue, or effortful speaking. Pseudocysts may come and go, while fibrovascular lesions often persist. Treatment includes voice therapy, reflux control, and careful monitoring. If symptoms persist or interfere with speech, we may perform microlaryngoscopy for surgical removal. Both types generally heal well with appropriate care.

Pseudocyst