Would you know how to do this if poll respondents weren't allowed to add their own answers?
Then on the backend, if the extra radio button was selected, instead of incrementing the vote count for that answer, you create a new answer in the database with a vote count of 1.
I assume you have your answers stored in a table like the following (pseudo-sql, my sql is rusty):
CREATE TABLE answers (
question_id INTEGER NOT NULL,
answer_id INTEGER NOT NULL,
answer_total_votes INTEGER DEFAULT 1,
answer_text TEXT NOT NULL,
PRIMARY KEY (question_id, answer_id)
)