Which is more serious, vocal cord nodules or vocal cord polyps?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
00:00
00:00

Vocal cord nodules and vocal cord polyps are both benign occupies of the vocal cord area. Vocal cord nodules appear as point-like and nodular protrusions, while vocal cord polyps appear as polyp-like protrusions, and thus, the volume of vocal cord polyps is relatively larger. Generally speaking, the hoarseness associated with vocal cord nodules is milder, while the hoarseness from vocal cord polyps is more severe. In terms of treatment, vocal cord nodules generally do not require surgical intervention and are mainly managed with voice rest and symptomatic treatment. On the other hand, vocal cord polyps almost always require surgical treatment for resolution. Therefore, overall, vocal cord polyps are more severe, while vocal cord nodules are relatively milder.

Other Voices

doctor image
home-news-image
Written by Xu Qing Tian
Otolaryngology
54sec home-news-image

Symptoms of recurrent vocal cord polyps

Vocal cord polyps are a common and frequently occurring illness, primarily characterized by symptoms such as hoarseness and throat discomfort. After surgical removal of vocal cord polyps through suspension laryngoscopy, the patient's voice may still be hoarse in the short term. This hoarseness is mainly due to postoperative mucosal edema, and the general recovery period requires three to four weeks. Patients need to rest their voice and reduce vocal usage. Dietary precautions include avoiding spicy and irritating foods and reducing the incidence of colds and coughs. If a patient experiences a recurrence of vocal cord polyps, the main symptom is hoarseness. This can be confirmed through an examination with an electronic laryngoscope to determine whether the vocal cord polyps have recurred. There is still a certain probability of recurrence, which mainly depends on how the patient protects their voice in daily life.

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 2sec home-news-image

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.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
52sec home-news-image

Is nebulization effective for vocal cord polyps?

Vocal cord polyps refer to benign neoplasms located on the vocal cords. These neoplasms cause hoarseness, which is persistent, and in severe cases, may lead to voice loss or a distinct sensation of a lump when speaking. Clinically, vocal cord polyps are primarily removed through surgery. Nebulized inhalation treatments with medication can help reduce the swelling of the vocal cord polyps and alleviate congestion. Thus, nebulized inhalation plays a definite role in the treatment of vocal cord polyps, but it should not be expected to completely eliminate the polyps, as this is unrealistic and unachievable. Post-surgical nebulized inhalation can help reduce congestion and swelling, and actively aid in the recovery from vocal cord polyp surgery.

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 20sec home-news-image

Do vocal cord polyps have to be surgically removed?

Vocal cord polyps must be treated surgically. Vocal cord polyps are caused by improper vocal use for an extended period, overexertion, and yelling, leading to vocal cord lesions. Typically, the disease affects only one vocal cord, causing the patient's voice to be hoarse, with symptoms worsening continuously. During an examination with an electronic laryngoscope, a pale white or pale red smooth granule can be observed on the anterior middle third of the unilateral vocal cord, resulting in incomplete closure of the glottis and consequently a hoarse voice. In terms of treatment, conservative management for vocal cord polyps is ineffective. Patients must undergo a vocal cord polyp removal surgery under suspension laryngoscopy. The surgery requires hospitalization and general anesthesia, followed by the use of antibiotics postoperatively to avoid local infection. Recovery usually allows discharge from the hospital after about a week. However, after recovery, patients still need to speak softly and sparingly, avoid catching colds, and prevent recurrence. (The use of medications should be conducted under the guidance of a doctor.)

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
44sec home-news-image

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.