Do vocal cord polyps recur?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
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Vocal cord polyps are benign neoplasms that occur on the vocal cords. Often, they are treated through surgical removal. After the removal of vocal cord polyps, there is a certain rate of recurrence.

This is because the inflammation in the vocal cord area has not been fully controlled after the surgery. Recurrent and frequent upper respiratory infections stimulate the vocal cords. Also, inappropriate use of the voice, such as frequent vocalization and loud screaming, can damage the vocal cords and lead to the recurrence of vocal cord polyps.

Other factors, such as diet, spicy and irritating foods, alcohol, and chili stimulation, can cause congestion and edema of the vocal cords to persist, leading to the recurrence of vocal cord polyps. Therefore, it’s important to be mindful of these aspects after surgery for vocal cord polyps.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be cured by taking Chinese medicine?

Vocal cord polyps are benign neoplasms on the free edge of our vocal cords. Once vocal cord polyps form, they are difficult to eliminate through medication and are generally removed surgically, as they are usually relatively large. In terms of using Chinese medicine, clinically, we mainly use Chinese patent medicines that clear the throat and benefit the voice. However, these can only serve as an adjunctive treatment and cannot eliminate vocal cord polyps. Therefore, in clinical treatment, surgery is primarily used. Chinese medicine cannot eliminate vocal cord polyps, and this is something we must understand.

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Written by Li Rui
Otolaryngology
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Postoperative care for vocal cord polyps surgery

Vocal cord polyps are a relatively common otolaryngological condition. In terms of treatment, conservative treatment is considered if the polyp is small. However, if the polyp is large and conservative treatment is ineffective, surgical treatment may be necessary. Currently, the main procedure is microlaryngoscopic vocal cord polyp removal surgery, which is a common minimally invasive surgical method. Post-surgery, it is generally recommended to have regular follow-ups, ideally weekly, to monitor recovery. Additionally, nebulizer treatment is advised as an auxiliary therapy to aid post-surgical recovery. After surgery, it is also important to minimize speaking and avoid overusing the voice.

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Written by Li Rui
Otolaryngology
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Do vocal cord polyps require surgery?

Vocal cord polyps generally do not require surgery. If the polyps are relatively small or if the symptoms of hoarseness are not obvious, surgery is usually not necessary, and medication can be considered. The treatment is primarily through oral medications, combined with nebulization therapy. If possible, professional voice training can also be considered. Most patients can gradually recover through conservative treatment. However, if the polyps are large and cause noticeable hoarseness, surgery might be needed. Post-surgery, regular follow-ups are necessary, but such surgeries are usually minimally invasive, performed under a laryngoscope, and do not involve significant external injuries.

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Written by Deng Bang Yu
Otolaryngology
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Vocal cord polyps should be seen by the ENT (Ear, Nose, and Throat) department.

Vocal cord polyps are benign neoplasms that occur on the free edge of the vocal cords. Therefore, they are primarily treated in the otolaryngology departments of clinics. In larger comprehensive hospitals, where specialties are more detailed, one might see an expert in the pharyngology or laryngology departments. In traditional Chinese medicine hospitals, patients might visit the department of otorhinolaryngology, which is included within the broader five senses (otorhinolaryngology) department. In general, the treatment of vocal cord polyps is predominantly managed by otolaryngologists, with the main treatment method being surgical removal of the polyps. After surgery, it is recommended to speak less to avoid the recurrence of the polyps.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be examined by B-ultrasound?

Vocal cord polyps are benign space-occupying lesions of the vocal cords, mainly appearing as polypoid protrusions on the surface of the free edge of the vocal cords, sometimes with a thin stalk, and sometimes with a broad base. In clinical practice, vocal cord polyps are primarily examined using a laryngoscope, and can also be assessed via CT and MRI. However, ultrasound is not used to examine vocal cord polyps, as ultrasound produces many artifacts and the neck’s muscles and soft tissues are very rich, preventing ultrasound from correctly or fully displaying the condition of the vocal cord polyps. In summary, ultrasound is not used clinically to examine vocal cord polyps.