Do vocal cord polyps require surgery?

Written by Xu Qing Tian

Otolaryngology

Updated on February 16, 2025

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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 Li Rui

Otolaryngology

53sec

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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 Wang Chun Mei

Pulmonology

51sec

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Can someone with difficulty breathing, chest tightness, and shortness of breath undergo vocal cord polyp surgery?

Difficulty breathing and chest tightness are very common symptoms in clinical practice. Since there are many triggering factors that can cause these symptoms, it is generally not recommended for patients experiencing difficulty breathing and chest tightness to undergo vocal cord surgery. It is advisable for patients to identify the triggering factors causing these symptoms and effectively improve these symptoms before considering vocal cord surgery. This is important because anesthesia, which is necessary for vocal cord surgery, could be harmful if the patient has underlying cardiovascular diseases. Therefore, it is recommended that such patients find and eliminate the triggering factors, improve their current discomforting symptoms, and only consider vocal cord surgery after their symptoms have fully improved.

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Written by Zhang Jun

Otolaryngology

1min 12sec

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How long does it take for vocal cord polyps to go away with medication?

Vocal cord polyps do not respond to medical treatment. The majority of vocal cord polyps are caused by improper or excessive use of the voice, such as prolonged speaking, overexertion, and shouting, leading to vocal cord lesions. The disease typically affects one vocal cord, causing the patient to have persistent and progressively worsening hoarseness. During an examination with a laryngoscope, a smooth, pale white or pale red neoplasm with a thin stalk can be seen at the anterior-middle third of one vocal cord. The vocal cord moves well but does not close completely. In terms of treatment, medication is ineffective for vocal cord nodules and polyps. The patient needs to undergo a vocal cord polypectomy under a support laryngoscopy. This surgery requires hospitalization, general anesthesia, and postoperative use of antibiotics to prevent local infection. Recovery and discharge can typically occur about a week post-operation. After recovery, patients are advised to speak softly and minimally, and avoid exhaustion to prevent recurrence. (The use of medication should be under the guidance of a professional doctor.)

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Written by Xu Qing Tian

Otolaryngology

1min

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Can vocal cord polyps be cured by taking Jinsang Sanjie Pills?

Patients with vocal cord polyps may find that medications such as Sanjie pills, which promote blood circulation and remove blood stasis, have a certain therapeutic effect. The occurrence of vocal cord polyps is associated with factors such as long-term excessive use of the voice and exposure to cold, leading to polyp proliferation, and patients will experience a noticeable hoarseness in their voice. In the early stages of vocal cord polyps, medication can be used for treatment, and some patients may be cured. However, if the polyps have been proliferating for a long time, medication usually becomes ineffective, and surgical treatment is required. A common surgical method is the excision of vocal cord polyps under laryngoscopic support. After surgery, patients should be careful to rest their voice, avoid excessive voice use, and also avoid consuming spicy and irritating foods. (Please use medication under the guidance of a doctor.)

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Written by Deng Bang Yu

Otolaryngology

47sec

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How long after vocal cord polyp surgery can one talk?

Vocal cord polyps are benign, space-occupying lesions located on our vocal cords. Treatment for vocal cord polyps involves surgical removal. Surgery for vocal cord polyps does not mean that we are unable to speak or unable to speak normally. In fact, after surgery for vocal cord polyps, we can speak normally. Once the patient wakes from general anesthesia, they can speak normally. However, it is important to emphasize that we should speak less and speak normally. Do not use a falsetto voice, as this can more easily damage the vocal cords. Speak less and pay attention to using our resonance chambers and tongue, which assist the vocal organs. Avoid shouting, as this can prevent the recurrence of vocal cord polyps.