Introduction: Vocal cord lesions are fairly common and easily diagnosed since the nature of disease is such that the presentation is very early. In most cases the lesions are managed with very good cure rates. The origin of the vocal polyp is phono traumatic.

Materials and methods: The present study was carried out to analyse the factors associated with different benign vocal fold lesions and their management via micro laryngeal surgery and speech therapy. We present common benign vocal cord lesions seen and managed over a period of one year in our institution and analyse the management strategies. Fifty cases were selected at random and these were analysed for causative factors and treatment strategies were discussed.

Results and observation: Benign non-neoplastic lesions make up majority of vocal fold lesions and are majorly associated with vibratory injury of vocal cords, but multiple factors can lead to development of these lesions. Other irritating processes, however, may contribute to the emergence of polyps, such as gastroesophageal reflux, smoking, aspiration of aggressive chemical substances, or intense respiratory activities. With the increasing use of Laryngoscope and rigid endoscope of the 70  to 90 degrees it is easier to diagnose and document these conditions. Although indirect laryngoscope remains the first mode of diagnosis which will very soon be replaced with the endoscope in the future.

Minutha R, who completed her masters Of ENT at the prestigious Bangalore Medical College under merit has to her credit more than eight articles in peer reviewed Journals. She is the associate professor and post graduate teacher at the Vydehi Medical College and Research Centre, Bengaluru. She is also a post graduate examiner and Guide for research in her institute. She has an experience of more than ten years in the field of Otorhinolaryngology. She has operated thousands of cases in Ear, nose and Throat with a special interest in Head and Neck surgery and Laryngeal surgery.