Can vocal cord polyps be examined by B-ultrasound?

Written by Deng Bang Yu
Otolaryngology
Updated on September 26, 2024
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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.

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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 benign neoplasms in the throat, primarily presenting clinically as hoarseness. Typically, vocal cord polyps are relatively large when detected, and various treatment methods often do not result in complete disappearance. Therefore, clinical treatment of vocal cord polyps mainly involves surgical removal. Sometimes, if patients are reluctant to undergo surgery, medication can be attempted. However, the likelihood of completely eliminating vocal cord polyps with medication alone is relatively low. If the condition does not improve or the polyps do not shrink or disappear after medicinal treatment, surgery is often necessary.

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Written by Xu Qing Tian
Otolaryngology
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Do vocal cord polyps require surgery?

Vocal cord polyps are benign proliferative lesions that occur on the surface mucous membrane of both vocal cords, and are also a type of chronic laryngitis. The main clinical manifestation is a hoarse voice, and it is very rare for it to become malignant. Factors such as improper vocal use due to professional reasons, respiratory infections, and other irritative factors can lead to vocal cord polyps. At this point, vocal cord polyps require surgical treatment; by surgically removing the proliferative polypoid tissue, the patient's voice can be restored and persistent hoarseness can be avoided. Additionally, after surgery, voice rest is necessary to help the healing of the vocal cord mucosal epithelium.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be cured by taking Chinese medicine?

Vocal cord polyps are benign neoplasms on the free edge of our vocal cords. Once vocal cord polyps form, they are difficult to eliminate through medication and are generally removed surgically, as they are usually relatively large. In terms of using Chinese medicine, clinically, we mainly use Chinese patent medicines that clear the throat and benefit the voice. However, these can only serve as an adjunctive treatment and cannot eliminate vocal cord polyps. Therefore, in clinical treatment, surgery is primarily used. Chinese medicine cannot eliminate vocal cord polyps, and this is something we must understand.

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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 Xu Qing Tian
Otolaryngology
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Are white vocal cord polyps cancerous?

Vocal cord polyps are mainly caused by overuse of the voice by patients, or by edema of the mucous membrane due to smoking, alcohol, and physical or chemical irritations, which gradually form vocal cord polyps. During an examination with an electronic laryngoscope, if whitening of the vocal cord mucosa or symptoms such as folds or erosion are found, it may indicate an early stage lesion of a tumor, or that a tumor has developed, which is often seen in cases of leukoplakia or squamous carcinoma of the vocal cords. If such conditions are discovered, it is important for the patient to take them seriously and promptly visit a hospital for a pathological biopsy to determine if there has been a pathological change in the vocal cords. If a pathological change is confirmed, it is necessary to promptly remove the pathological tissue through carbon dioxide laser surgery or support laryngoscopy surgery to achieve timely treatment.