Vocal Fold Hemangioma

Figure J. Rigid endoscopic photograph shows a left vocalfold hemangioma during microsuspension laryngoscopy. hemorrhagic cyst, the overlying mucosa failed to vibrate and appeared to adhere to the lesion (figure 1). The mass was excised using a miniflap technique with cold-knife instrumentation. Although the base of the mass was easily dissected from the surface of the vocal ligament, the lesion was adherent to the overlying vocal fold mucosa. Histopathology confirmed a diagnosis of hemangioma with cavernous features (figure 2). Repeat videostroboscopy performed 3 months postoperatively revealed complete glottic closure at convers ational pitches and a mild restriction in vibrat ion amplitude at high pitches . The first case of an isolated vocal fold hemangioma was reported by Sataloff et al in 1995.1This patient represents the second case of a hemangioma involving the free edge of the true vocal fold.