Is it normal for vocal cord polyps to hurt?

Written by Li Rui
Otolaryngology
Updated on January 14, 2025
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Vocal cord polyps themselves do not cause significant pain. If pain occurs, it is necessary to consider the presence of pharyngitis or other issues causing throat pain. The main symptom of vocal cord polyps is hoarseness, which may be accompanied by a foreign body sensation in the throat, especially after excessive voice use or consuming spicy and irritating foods. These symptoms of hoarseness and throat foreign body sensation may further intensify. However, polyps alone do not cause pain. Therefore, if there is pain, it is necessary to investigate whether there are other pathological conditions. It is recommended to undergo a laryngoscopy for a more accurate diagnosis. If the polyps are relatively large, surgery may be considered for removal.

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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 Deng Bang Yu
Otolaryngology
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Do vocal cord polyps hurt?

Vocal cord polyps are benign, space-occupying lesions that occur on the free edge of our vocal cords. After the occurrence of vocal cord polyps, the main symptom is hoarseness of voice. In severe cases, there may be loss of voice, and if the vocal cord polyps are large, it may cause a sensation of air leaking when speaking. Generally, vocal cord polyps do not cause pain unless there is concurrent acute pharyngitis, which then results in pain in the throat area. This pain is mainly due to the acute pharyngitis. During surgery for vocal cord polyps, anesthesia is typically used, so there is no pain during the procedure. The surgery is usually performed under a microscope, and there is no significant pain in the throat area after the surgery. In conclusion, vocal cord polyps do not cause pain.

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Written by Xu Qing Tian
Otolaryngology
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The difference between vocal cord nodules and polyps

Vocal cord nodules are often bilateral symmetrical tiny nodules, while vocal cord polyps can be unilateral or bilateral. Vocal cord nodules commonly affect teachers, singers, orators, and other professions that involve excessive use of the voice. Vocal cord polyps, however, can be seen in all kinds of people. For vocal cord nodules, treatment usually begins with medication. If medication is ineffective, surgical treatment may be considered. For patients with vocal cord polyps, the most common treatment method is surgical removal of the polyps. Post-surgery, it is crucial to protect the voice and maintain silence to aid recovery. Generally, both vocal cord nodules and polyps can be cured.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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How to effectively treat vocal cord polyps?

Vocal cord polyps are neoplasms that occur in the anterior middle third of the vocal cords due to excessive voice use. The mucous membrane of the polyp is relatively smooth, and the base may be broad or pedunculated. During phonation, the shape of the glottis changes, thus patients with vocal cord polyps experience a hoarse voice and find speaking strenuous. If treatment with medications aimed at clearing blockages and dispersing accumulations is ineffective, surgery is generally considered. The procedure is performed under general anesthesia with direct vision through a supported laryngoscope. Postoperatively, patients should avoid speaking and overusing their voice to reduce the risk of recurrence, and consume more foods that are cooling and reduce heat. (Medication should be used under the guidance of a doctor.)

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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.