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Vocal fold polyps (VFPs) are generally unilateral and have a broad spectrum of appearances, from hemorrhagic to edematous, pedunculated to sessile, and gelatinous to hyalinized. Vocal fold polyps (VFPs) are believed to result from phonotrauma; however, they are also recognized to potentially arise from a single episode of hemorrhage.
Symptoms that may occur with vocal fold, polyps and cysts may include: 1  Hoarseness. 2  Rough or scratchy voice. 3  Vocal fatigue and strain. 4  Increased vocal effort. 5  Vocal onset delays. 6  Day to day variability in the voice. 7  Loss of upper range in singing. 8  Difficulties with vocal register changes in singing. 9  Airy quality to the voice.