How long does it take to recover normally after vocal cord polyp surgery?

Written by Li Mao Cai
Otolaryngology
Updated on September 26, 2024
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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 Yao Jun
Otolaryngology - Head and Neck Surgery
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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.

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Written by Zhang Jun
Otolaryngology
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Can Traditional Chinese Medicine cure vocal cord polyps?

Vocal cord polyps in traditional Chinese medicine are considered incurable because they are a benign tumor that must be surgically removed for a cure. The causes of vocal cord polyps generally include improper long-term voice use, shouting loudly, and excessive fatigue. For instance, teachers and singers are prone to developing vocal cord polyps. These polyps can cause persistent hoarseness in the patient's voice, which progressively worsens. Vocal cord polyps usually occur unilaterally. During an electronic laryngoscopy examination, an abnormal neoplasm can be observed on the anterior middle third of one vocal cord, typically pale white or pale red, soft, painless, and not prone to bleeding. For treatment, the patient needs to undergo local surgical removal to be cured. The surgery, which can be performed under a supporting laryngoscope, involves the excision of the vocal cord polyp, and recovery typically takes about a week before discharge from the hospital. After surgery, patients need to take good care of their vocal cords to prevent recurrence.

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Written by Deng Bang Yu
Otolaryngology
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Why do vocal cord polyps bleed?

Vocal cord polyps are a cold-natured and space-occupying lesion located on the vocal cords, usually occurring unilaterally. Clinically, they primarily present as hoarseness. Examination can reveal a polyp-like neoplasm protruding from the surface of one vocal cord. There are two reasons for bleeding in vocal cord polyps. One is intense coughing or other mechanical injuries that cause bleeding on the surface of the polyp, due to damage to the vocal cord mucosa, among other factors. The second is that these polyps are hemorrhagic, possessing a rich supply of blood vessels, referred to as hemorrhagic polyps, which are prone to bleeding. Another scenario is post-surgical bleeding due to mucosal damage, friction, or other factors following surgery for vocal cord polyps, primarily involving these three factors.

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Written by Li Rui
Otolaryngology
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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.

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Written by Zhang Jun
Otolaryngology
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Can vocal cord polyps be treated without surgery?

Vocal cord polyps must be surgically treated; otherwise, they will further aggravate. The cause of vocal cord polyps is often due to improper long-term vocal use, shouting loudly, or excessive fatigue. Alternatively, it can be caused by a digestive system disorder, where acid reflux stimulates and leads to vocal cord lesions. Patients will experience persistent hoarseness, and it tends to progressively worsen. Vocal cord polyps generally affect one side. During an examination with an electronic laryngoscope, a smooth, light red or light white abnormal growth can be observed at the anterior-middle third of one vocal cord. The growth is soft and painless, with good vocal cord mobility, but incomplete glottic closure. In terms of treatment, conservative management is ineffective, and the patient requires direct laryngoscopy for polyp removal. The surgery requires hospitalization, and the patient can typically recover and be discharged within about a week.