The difference between vocal cord polyps and vocal cord nodules

Written by Li Mao Cai
Otolaryngology
Updated on September 07, 2024
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Vocal cord polyps and vocal cord nodules are diseases caused by incorrect pronunciation or overuse of the voice, with the main clinical manifestation being hoarseness. The difference between vocal cord polyps and vocal cord nodules lies in their appearance under a laryngoscope: Vocal cord polyps often occur on one vocal cord, typically in the anterior one-third where a translucent, smooth swelling is found. This swelling can either have a broad stalk or a smaller stalk, and often, a hole can be observed with respiration. Vocal cord nodules are smaller and usually located symmetrically on the anterior one-third of both vocal cords. This implies that while polyps are commonly found on one vocal cord, nodules occur symmetrically on the anterior one-third of both vocal cords. From a general perspective, vocal cord polyps are wider and larger, whereas vocal cord nodules are only nodular lesions.

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Written by Li Rui
Otolaryngology
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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.

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Written by Li Mao Cai
Otolaryngology
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Causes of vocal cord polyps

Vocal cord polyps are a common condition in otolaryngology, with the main causes as follows: First, talking a lot. Here, talking a lot refers to normal speaking due to work or lifestyle reasons. Being in a work environment that requires extended periods of talking can lead to the development of vocal cord polyps over time. Second, improper voicing. Some people speak very hurriedly and tend to shout loudly; such habits over a prolonged period can lead to swelling of the vocal cord mucosa, which further develops into vocal cord polyps. Third, smoking. Patients who smoke heavily and for long periods can also develop vocal cord polyps, often compounded by speaking a lot while smoking, making it one of the most common causes of vocal cord polyps. Fourth, working or living in environments with significant pollution, drinking less water, and exposure to lots of dust are also common reasons.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be treated without surgery?

Vocal cord polyps are an occupying lesion in the throat area, taking the form of relatively larger polypoid formations. Vocal cord polyps typically require surgical removal, mainly performed under a microscope-supported laryngoscope. In the early stages of vocal cord polyps or when the polyps are small, some doctors may use medications, such as corticosteroid hormones or certain traditional Chinese medicines that clear the voice and benefit the throat. However, as vocal cord polyps tend to grow larger, reaching the extent of polyp development, it is difficult to treat them with medications alone and eliminate them pharmacologically. Thus, the prevailing recommendation for vocal cord polyps is surgical removal.

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Written by Li Mao Cai
Otolaryngology
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How long does it take to recover normally after vocal cord polyp surgery?

Vocal cord polyp surgery usually involves the use of general anesthesia and a supported laryngoscope for the removal of the polyps. This type of surgery is relatively minimally invasive, so the general recovery time for vocal cord polyp surgery is about two to four weeks. During this two to four week period, it is crucial to rest, which means vocal rest and speaking as little as possible to aid the healing of the mucous membrane after the polyp removal and to prevent mucosal edema due to excessive phonation, which is detrimental to recovery. Post-surgery phonation is a very important factor in determining the pace of recovery. If phonation is inaccurate post-surgery, or if there is excessive talking, the recovery time may be extended. If proper vocal rest is maintained and phonation is correct and careful, recovery can be quicker. Therefore, some people may recover in two weeks, while others may take more than four weeks or even longer. In addition to vocal rest post-surgery, it is essential to ensure accurate phonation. It is crucial not to speak in a subdued voice; speak normally when necessary, or do not speak at all.

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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.