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Vocal cord polyps
chance of vocal cord polyps turning cancerous
Vocal cord polyps are benign neoplasms located on the vocal cords, typically presenting clinically with symptoms of a hoarse voice. Examination via electronic laryngoscopy reveals protruding polyp-like neoplasms on the free edge of the vocal cords. Clinically, malignant transformation of vocal cord polyps is rare and almost unseen. This rarity is attributed to the early presentation of hoarseness prompting patients to seek medical attention promptly, leading to early and active treatment. Therefore, clinical instances of vocal cord polyps developing into cancer are virtually nonexistent, even though theoretically possible; statistically, this likelihood is difficult to measure. In summary, it is crucial to actively address and treat vocal cord polyps upon diagnosis.
Do vocal cord polyps cause a sensation of a foreign body?
A small subset of patients may feel a foreign body sensation in their vocal cord system. Generally, if the polyp is small, it is unlikely to cause a feeling of a foreign body. Most commonly, it causes hoarseness. If the sensation of a foreign body in the throat is prominent, this condition is primarily considered to be caused by chronic pharyngitis. Of course, if the vocal cord polyp is large, especially if it is a pedunculated vocal cord polyp, movement of the vocal cords, such as during speaking or breathing, may cause a sensation of a foreign body in the throat. It can also cause hoarseness, and more severe cases may be accompanied by nausea, vomiting, and difficulty breathing. If there are particularly severe and large bilateral vocal cord polyps, intense activity may lead to breathing difficulties and even cause suffocation due to impaired breathing.
Can vocal cord polyps become cancerous?
Vocal cord polyps are proliferative protrusions located on the surface of the vocal cords, typically occurring on the anterior middle third of both vocal cords. The main causes of this condition are consuming spicy and irritating foods and harmful habits such as smoking and drinking, excessive use of the voice, and occupational factors. Vocal cord polyps are usually characterized by squamous proliferation on the surface mucosa of the vocal cords, and cancerous changes are rare. If the surface of the vocal cords is uneven and the voice is notably hoarse, a biopsy treatment should be conducted to confirm the diagnosis.
Do vocal cord polyps require surgery?
Vocal cord polyps are benign proliferative lesions that occur on the surface mucous membrane of both vocal cords, and are also a type of chronic laryngitis. The main clinical manifestation is a hoarse voice, and it is very rare for it to become malignant. Factors such as improper vocal use due to professional reasons, respiratory infections, and other irritative factors can lead to vocal cord polyps. At this point, vocal cord polyps require surgical treatment; by surgically removing the proliferative polypoid tissue, the patient's voice can be restored and persistent hoarseness can be avoided. Additionally, after surgery, voice rest is necessary to help the healing of the vocal cord mucosal epithelium.
Can vocal cord polyps disappear on their own?
Vocal cord polyps cannot disappear on their own because they are a benign tumor. Without local surgical treatment, vocal cord polyps will continue to grow, causing the patient's hoarseness to worsen further. In severe cases, it can cause the patient to have breathing difficulties, leading to choking and even death. Vocal cord polyps are caused by improper use of the voice over a long period, such as yelling loudly or excessive tiredness, leading to pathological changes in the vocal cord mucosa. They can cause persistent hoarseness in patients. During an examination with an electronic laryngoscope, a smooth, light red or pale white abnormal neoplasm can be found on the anterior-middle third of one vocal cord. The vocal cord moves well, but does not close completely. In terms of treatment, patients need to undergo local surgical excision to heal. After surgery, it is important to protect the vocal cords by avoiding yelling loudly or speaking entirely, and complete recovery can generally be achieved within about a week.
Why does vocal cord polyp surgery require general anesthesia?
Vocal cord polyps are a relatively common type of ENT (Ear, Nose, and Throat) disorder. For larger polyps where conservative treatment with medication is ineffective, surgical treatment should be considered. Currently, the main surgical procedure is the excision of vocal cord polyps under a supported laryngoscope, which requires general anesthesia. This is because the procedure is difficult for patients to endure without general anesthesia, as the supported laryngoscope is a type of metal tube that needs to be inserted through the mouth into the pharynx. Local anesthesia would be insufficient as patients might struggle to cooperate and tolerate the pain or nausea, hence general anesthesia is necessary for the surgery.
What are the symptoms of vocal cord polyps?
Vocal cord polyps refer to inflammatory neoplasms located at the junction of the anterior and middle third of the vocal cords, caused by excessive or improper voice use. They may be pink, smooth, or grayish-white. Their bases are relatively wide, and some even have a pedicle because a neoplasm arises in the front middle third of the vocal cords. Therefore, patients with this condition often have difficulty closing the glottis while speaking, and hoarseness is a main symptom of vocal cord polyps. As the condition worsens, the glottis closes poorly. Speaking requires a great deal of effort to produce sound, thus making speaking laborious is another primary symptom of vocal cord polyps.
Can people with vocal cord polyps eat spicy food?
Vocal cord polyps are a relatively common otolaryngological condition. It is advised to avoid spicy foods in the diet. This type of food tends to irritate the vocal cords significantly, potentially causing congestion and edema in the vocal cords, and aggravating the condition of the vocal cord polyps. Moreover, it may also lead to further worsening of hoarseness. Some patients may even develop acute pharyngitis, which can cause throat pain, breathing difficulties, and possibly even fever. After the onset of vocal cord polyps, it is necessary for patients to visit an otolaryngology department, undergo a laryngoscopy to assess the condition, and consider medical conservative treatment or surgical removal depending on the case.
Do vocal cord polyps have to be surgically removed?
Vocal cord polyps must be treated surgically. Vocal cord polyps are caused by improper vocal use for an extended period, overexertion, and yelling, leading to vocal cord lesions. Typically, the disease affects only one vocal cord, causing the patient's voice to be hoarse, with symptoms worsening continuously. During an examination with an electronic laryngoscope, a pale white or pale red smooth granule can be observed on the anterior middle third of the unilateral vocal cord, resulting in incomplete closure of the glottis and consequently a hoarse voice. In terms of treatment, conservative management for vocal cord polyps is ineffective. Patients must undergo a vocal cord polyp removal surgery under suspension laryngoscopy. The surgery requires hospitalization and general anesthesia, followed by the use of antibiotics postoperatively to avoid local infection. Recovery usually allows discharge from the hospital after about a week. However, after recovery, patients still need to speak softly and sparingly, avoid catching colds, and prevent recurrence. (The use of medications should be conducted under the guidance of a doctor.)
Foods to avoid with vocal cord polyps
Vocal cord polyps are benign neoplasms of the vocal cords, clinically primarily polyps at the anterior end of the vocal cords, mainly manifesting as hoarseness. The treatment mainly involves the removal of the vocal cord polyps under a microscope or endoscope. After surgery, we need to pay attention to certain dietary aspects. First, some spicy and irritating foods, such as chili peppers and alcohol, should be avoided. Second, it is important to regulate the temperature of foods; overly cold items, such as popsicles, or overly hot items, such as hot pot, should be consumed with caution. The third point is to avoid certain foods that can cause allergies, such as mangoes, especially if the patient has an allergic constitution; these should be avoided or minimized in the diet.