Benign neoplasms are any mass or lesion that is not malignant, not progressive, and not recurrent. In this case, it occurs in the larynx.

Nodules on the vocal cords may result from abuse of the vocal cords, e.g., screaming and or singing. Vocal cord changes that result in polyps may also be a result of smoking, hypothyroidism, or chemical irritants. Esophageal reflux may create ulcers on the vocal processes and cause hoarseness. Juvenile papillomas are caused by the human papillomavirus (HPV). Other benign laryngeal neoplasms are hemangiomas (blood tumors), fibromas (connective tissue tumors), chondromas (cartilage tumor), neurofibromas (tumor of connective nerve tissue), and myxoma (mucous connective tissue).

Hoarseness is the most common symptom.

Laryngoscopy is utilized, and possible biopsy is done to verify benign status.

Treatment usually includes removal of the affected nodule or nodules by surgical excision. Speech therapy, and modification of vocal habits may be necessary. If irritants have caused the polyps, a steroid spray may be used. When the cause is esophageal reflux, the condition requires antacids or H2-receptor blocking drugs and elevation of the head of the bed.

Removal of benign neoplasms restores the functional integrity of the airway and the larynx, and restores the voice.

• May be entitled to special monthly compensation where the Veteran has a single service-connected disability rated as 100% with additional service-connected disability or disabilities independently ratable at 60% or more, which are separate and distinct from the 100% service-connected disability and involves different anatomical segments or bodily systems. See  38 CFR 3.350(i)(1) – Special Monthly Compensation (SMC).

• None.