An acute vocal fold hemorrhage occurs when a blood vessel in the vocal fold ruptures, usually from vocal trauma like yelling or heavy singing. This causes blood to collect in the vocal fold, stiffening the tissue and interrupting normal vibration. Symptoms include a sudden loss of voice, hoarseness, or vocal pain. Singers may notice they can no longer hit high notes or produce sound. Immediate voice rest is essential to prevent permanent damage. We often recommend oral steroids and follow the injury closely with laryngoscopy. If blood does not resolve or if damage leads to polyp or cyst formation, surgery may be required. Recovery after surgery is typically 1–2 weeks with rest and follow-up therapy.

Vocal Fold Hemorrhage