Given your cardiac status and low ejection fraction, avoiding general anaesthesia is the right decision. . As for the lesion itself: since there is no obvious ulcer or growth, it could be simple thickening, reflux-related laryngitis, a papilloma, or an infection. But early vocal cord cancer can look exactly like this too, so malignancy cannot be excluded by appearance alone. That is why the biopsy matters — it is the only way to be sure. A stroboscopy and CT/MRI may also be advised beforehand. Please do not delay. Lesions in this area are highly treatable when caught early. Discuss these options with your ENT surgeon and cardiologist together.

Ent consultation pls

You mean to say you have cardiology issues ? Yes it can be done with flexible laryngoscope under local . You just have to be cooperative Can be done in any ENT setup hospital with fiberoptic laryngoscope system and good anesthesia backup if any prblm

It can be done under general anaesthesia

Need to get done all fitness report to know it is possible in LA/GA

It is possible after Ige control

It can be done under general anesthesia