Is it necessary to have surgery for vocal cord polyps?

Written by Li Mao Cai

Otolaryngology

Updated on September 26, 2024

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After diagnosing vocal cord polyps, it is necessary to decide whether surgery is needed based on the size of the polyps and the effectiveness of conservative treatment. If the polyps appear large under laryngoscopy and have a broad base, and conservative treatment is judged to be ineffective, it is recommended to opt for surgical treatment as soon as possible. If the polyps are small, and the doctor assesses that there is a possibility of recovery through conservative treatment and voice rest, then conservative treatment can be initially adopted for a period of time. If after conservative treatment the vocal cord polyps have not completely disappeared, or even worsened, it is also advisable to pursue aggressive surgical treatment. Therefore, whether surgery is necessary for vocal cord polyps needs to be determined by the doctor based on the results of laryngoscopy and conservative treatment.

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Written by Li Mao Cai

Otolaryngology

2min 2sec

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The difference between vocal cord polyps and laryngeal cancer

The difference between vocal cord polyps and laryngeal cancer is firstly notable in their nature. Vocal cord polyps are benign lesions, and their removal generally does not significantly affect the patient's quality of life or lifespan. Laryngeal cancer, as the name implies, is a malignant lesion that greatly affects both the patient's quality of life and lifespan. Location-wise, vocal cord polyps are found on the vocal cords, while laryngeal cancer can be located in one of three areas: on the vocal cords, known as glottic laryngeal cancer; below the vocal cords, known as subglottic laryngeal cancer; and above the vocal cords, known as supraglottic laryngeal cancer. The prognosis for vocal cord polyps is very good; after surgery, if the patient rests well, their future quality of life is generally unaffected. Laryngeal cancer is divided into three types: glottic, supraglottic, and subglottic, with glottic being the most common, accounting for about 80%. This type of laryngeal cancer usually presents early symptoms such as hoarseness, similar to vocal cord polyps. Therefore, glottic laryngeal cancer can often be detected early. With prompt and correct treatment, the postoperative results can be good. As it typically involves highly differentiated squamous cell carcinoma, if it is completely excised surgically and regularly reviewed postoperatively, it doesn't greatly impact lifespan or quality of life. In contrast, subglottic and supraglottic laryngeal cancers often show symptoms later, which means they tend to be diagnosed at a later stage, usually at a mid to advanced stage. Supraglottic laryngeal cancer, in particular, is prone to cervical lymph node metastasis, thus usually having a poorer prognosis compared to glottic laryngeal cancer. There's also a higher likelihood of recurrence and metastasis, and the surgery may involve greater trauma. These are the main differences.

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Written by Li Rui

Otolaryngology

42sec

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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.

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Written by Deng Bang Yu

Otolaryngology

47sec

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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 Zhang Jun

Otolaryngology

1min 5sec

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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

42sec

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Can vocal cord polyps cause loss of voice?

Vocal cord polyps are benign neoplasms that occur on the vocal cords. They protrude from the surface of the vocal cords. Generally, after the occurrence of vocal cord polyps, surgical treatment is performed to remove them, as vocal cord polyps can cause hoarseness, affecting our work, and impacting our career and life. Severe vocal cord polyps, if not treated, can lead to repeated friction between the vocal cords, which may even result in the potential malignancy. Of course, vocal cord polyps severely affect our voice quality, causing hoarseness and in severe cases lead to voice loss, causing a sensation of air leakage when we speak. In summary, vocal cord polyps can lead to loss of voice.