Laryngeal polyp is defined pathologically as a noninflammatory response to laryngeal injury usually caused by vocal cord abuse and irritation [
1]. “Vocal abuse” refers to misuse of vocal behaviors leading eventually to trauma of the laryngeal mucosa, such as by excessive talking, prolonged and excessive loudness, and the use of inappropriate pitch [
2]. Thus, it is more common in singers [
1]. The most common clinical manifestation is voice change: generalized and persistent hoarseness, change in voice quality, and increased effort in producing the voice [
3]. The usual location of polyps on the superior surface of the cord makes it easy to visualize them by video stroboscopic examination [
3]. There are several other causes of laryngeal polyps, despite being less common, such as gastroesophageal reflux disease (GERD), and chronic inhalation of irritants (such as industrial fumes and cigarette smoke). GERD symptoms are described as typical if they present with digestive symptoms (e.g., pyrosis, regurgitation, back breastbone pain) and atypical if the symptoms are extraesophageal, related to the larynx, the pharynx, or other respiratory airways (e.g., cough, dysphonia, dysphagia) [
4,
5]. The causes of GERD are multifactorial and include many well-described factors [
6], all of which are associated with transient lower esophageal sphincter relaxation that allows a bolus of refluxate to move from the stomach into the esophagus [
6]. One of the defense mechanisms in combating gastric reflux is the upper esophageal sphincter (cricopharyngeus), whose pressure might fail to increase in response to esophageal acid exposure, leading to laryngopharyngeal reflux (LPR) [
7]. The exact etiology behind the failure of the upper sphincter is uncertain; however, it is also clear that such failure is reversible with effective antireflux treatment [
7]. LPR has been associated with vocal cord polyps, vocal cord granulomas, laryngospasm, laryngeal carcinoma, and subglottic stenosis [
8]. We report a case of vocal cord polyp diagnosed in a patient with severe GERD.