Acute subepithelial haemorrhage

Sometimes, spontaneous bleeding in the vocal fold can happen, following phonotrauma or caused by doctor (after surgical procedures which involve the larynx or tracheobronchial tree). Commonly, the blood collects in the superficial layers of the true vocal fold. Layers beyond the vocal ligament can also be affected (but it is a rare situation). Small amount of blood creates haematoma, amount of blood is limited by the epithelium and attachments of the ligaments. The following symptoms may occur: hoarseness of voice, reduction in vocal range, or even fatigue. To allow normal healing and to prevent potential scarring it is a necessity to perform a period of absolute followed by limited voice rest. Steroid treatment for inflammation and edema could be ordered if they occur. An acute subepithelial haemorrhage involving the right true vocal fold in a teacher after an episode intensive voice use is presented in this video. Total recovery was achieved after a short period of dedicated voice rest.