Prolonged and repetitive voice over-used or abuse have detrimental effect on vocal folds especially when voice projection is needed in a very noisy background. In this video, left vocal fold polyp has formed (white arrow) with opposite vocal fold thickening seen and evidence of recent bleeding into superficial vocal fold layer (green arrow with yellowish tinge underneath the vocal folds lining on both sides). The mucosa of arytenoids and posterior commissure appeared swollen, reddish and oedematous due to coexisting untreated reflux laryngitis (blue interrupted line) |