The main causes of vocal cord polyps are improper voicing or excessive voice use. For example, professions that involve a lot of talking, such as teachers, salespeople, singers, actors, etc., can also lead to polyps after a single intense vocalization. For instance, clinically, it is seen in individuals who go to karaoke after drinking and shout loudly, straining their voice, which can then cause the formation of the vertical polyps. Additionally, upper respiratory infections, such as hoarseness following a cold, can also lead to the diagnosis of vocal cord polyps upon further examination. Therefore, the primary causes are improper or excessive voice use and some upper respiratory infections that lead to vocal cord polyps.