Vocal cord polyp general anesthesia surgery process

Written by Li Mao Cai
Otolaryngology
Updated on September 01, 2024
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Vocal cord polyp surgery under general anesthesia currently involves the use of a combined inhalation and general anesthesia approach, employing a supporting laryngoscope for the excision of the vocal cord polyp. Before the surgery begins, general anesthesia is administered. After the patient is under general anesthesia, the doctor uses a supporting laryngoscope to fully expose the vocal cord polyp. Next, through a fibroscope, in conjunction with fiberoptic instruments or a carbon dioxide laser, the vocal cord polyp is completely excised. The source of the vocal cord injury is repaired to make the vocal cord surface smooth, and then the surgery is concluded. After the surgery, the anesthetist waits for the patient to wake up from the general anesthesia before they can be taken back to their room. The overall duration of the procedure, from anesthesia to surgery to awakening, is typically about an hour or so. Of course, treatment needs to be tailored to the specific patient. In some patients, the vocal cord polyps may not be easily exposed under the supporting laryngoscope, which might extend the duration slightly, whereas in others, where the exposure is straightforward, the procedure may be relatively shorter.

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Written by Li Rui
Otolaryngology
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Can vocal cord polyps be treated without surgery?

Some patients with vocal cord polyps may not require surgery, as the treatment of vocal cord polyps is mainly divided into two categories. The first category is conservative treatment, and the second category is surgical treatment. Surgical intervention might be considered if the polyp is particularly large and symptoms are prominent, such as hoarseness or breathing difficulties. However, if the hoarseness is not very pronounced and the polyp is relatively small or the clinical symptoms are not very typical, it is possible that the condition could be alleviated through medication. Common treatments include oral medication and nebulization, accompanied by voice training. With conservative treatment, many patients can achieve effective control, and some may even experience a gradual reduction in the polyp size. Regular follow-up examinations are advised to avoid excessive use of the voice.

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Written by Zhang Jun
Otolaryngology
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Can vocal cord polyps eat bayberry?

People with vocal cord polyps should avoid eating bayberries, as bayberries are acidic and can aggravate acid reflux after consumption. The acid fluid and vapors can also irritate the throat, leading to the enlargement or recurrence of vocal cord polyps. Vocal cord polyps are generally caused by prolonged improper use of the voice, such as yelling loudly, excessive fatigue, and irritation from acid reflux. These polyps can cause the voice to become hoarse and progressively worsen. During examination, a pale, lychee-like mass can be found on the anterior-middle third of one vocal cord, leading to incomplete closure of the vocal cords. Regarding treatment, medication is ineffective for vocal cord polyps. Patients need to undergo a vocal cord polyp removal surgery under supported laryngoscopy. The surgery requires hospitalization and general anesthesia, and postoperative antibiotics are used to prevent local infection. Recovery is usually complete within about a week, allowing for discharge from the hospital.

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Written by Deng Bang Yu
Otolaryngology
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How long after vocal cord polyp surgery can one talk?

Vocal cord polyps are benign, space-occupying lesions located on our vocal cords. Treatment for vocal cord polyps involves surgical removal. Surgery for vocal cord polyps does not mean that we are unable to speak or unable to speak normally. In fact, after surgery for vocal cord polyps, we can speak normally. Once the patient wakes from general anesthesia, they can speak normally. However, it is important to emphasize that we should speak less and speak normally. Do not use a falsetto voice, as this can more easily damage the vocal cords. Speak less and pay attention to using our resonance chambers and tongue, which assist the vocal organs. Avoid shouting, as this can prevent the recurrence of vocal cord polyps.

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Written by Xu Qing Tian
Otolaryngology
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Can vocal cord polyps be cured by taking Jinsang Sanjie Pills?

Patients with vocal cord polyps may find that medications such as Sanjie pills, which promote blood circulation and remove blood stasis, have a certain therapeutic effect. The occurrence of vocal cord polyps is associated with factors such as long-term excessive use of the voice and exposure to cold, leading to polyp proliferation, and patients will experience a noticeable hoarseness in their voice. In the early stages of vocal cord polyps, medication can be used for treatment, and some patients may be cured. However, if the polyps have been proliferating for a long time, medication usually becomes ineffective, and surgical treatment is required. A common surgical method is the excision of vocal cord polyps under laryngoscopic support. After surgery, patients should be careful to rest their voice, avoid excessive voice use, and also avoid consuming spicy and irritating foods. (Please use medication under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What should not be eaten with vocal cord polyps?

Vocal cord polyps are a relatively common otolaryngological ailment. In terms of diet, it is advised not to consume spicy and irritating foods such as chili peppers, Sichuan pepper, and black pepper, as well as foods that are likely to cause allergies. These foods can directly irritate the throat and vocal cords, potentially exacerbating symptoms such as hoarseness and possibly causing throat pain and a sensation of a foreign object in the throat. Patients with vocal cord polyps should visit an otolaryngology clinic after symptoms appear. Routine blood tests and laryngoscopy can help determine the specific cause and extent of the condition, which then facilitates targeted treatment.