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Irreversible changes to the vocal fold mucosa, such as scarring and atrophy, require regenerative medicine approaches to promote controlled regrowth of the mucosa. Various biomaterial systems have been engineered with an emphasis on stimulating extracellular matrix production from local fibroblasts. Simultaneously, it is imperative to minimize the foreign body response and associated inflammation that can hinder biomaterial\u2212tissue integration. Biomaterial designs have become increasingly focused on actively harnessing the immune system to accelerate and optimize tissue regeneration. An array of biomaterial parameters have been reported to effectively modulate local immune cells, such as macrophages, to initiate tissue repair and restore the function of the vocal folds. In this perspective article, the unique immunological profile of the vocal folds is first reviewed. Key physical and chemical biomaterial properties relevant to immunomodulation are then highlighted and discussed. 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