What are the symptoms of vocal cord polyps?

Written by Yao Jun
Otolaryngology - Head and Neck Surgery
Updated on February 14, 2025
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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 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 conservatively?

Vocal cord polyps are a relatively common ENT disorder. For treatment, conservative treatment can be considered for some patients. If the vocal cord polyps are small and the symptoms of hoarseness are not particularly noticeable, conservative treatment with medication can be initially considered. Common treatments include oral traditional Chinese medicine, combined with nebulization therapy. It's also suggested to undergo voice training concurrently. Generally, with formal treatment lasting about two weeks, symptoms of hoarseness can gradually improve, and polyps may recede in some patients. However, if the vocal cord polyps are particularly large and the symptoms of hoarseness are very noticeable, and conservative treatment proves ineffective, then surgical treatment should be considered.

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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.

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Written by Li Mao Cai
Otolaryngology
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Do vocal cord polyps hurt?

Vocal cord polyps are a very common condition in otolaryngology. They generally do not cause pain because they are a disease caused by talking excessively or improper pronunciation over the long term, rather than an acute inflammation. Therefore, pain from vocal cord polyps is rare. The main symptom is hoarseness. Vocal cord polyps are caused by excessive talking, which over time leads to thickening of the mucous membrane on the surface of the vocal cords and even hyperplasia, forming minor lesions. This can cause incomplete closure of the glottis, resulting in hoarseness, difficulty reaching high notes, and other related symptoms. It is very rare for vocal cord polyps to cause pain, and this is not a main symptom.

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Written by Zhang Jun
Otolaryngology
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What should you avoid eating if you have vocal cord polyps?

Patients with vocal cord polyps need a light diet and should avoid spicy and irritating foods. It is necessary for patients to adjust their digestive system function to avoid acid reflux. The cause of vocal cord polyps is generally due to long-term intake of spicy foods, digestive system disorders, gastric acid reflux, and long periods of loud talking, excessive fatigue, and overuse of the voice, which leads to congestion, edema, hyperplasia, and prolapse of the mucous membrane on the surface of the vocal cords. This condition can cause the patient to experience persistent hoarseness, which progressively worsens. During an examination with an electronic laryngoscope, a smooth, pale white or pale red abnormal neoplasm can be found at the anterior middle third of one vocal cord. It can lead to incomplete closure of the vocal cords, resulting in a hoarse voice. In terms of treatment, vocal cord polyps can be cured with a microlaryngoscopy under the support of a laryngoscope, where the polyp is surgically removed.