Can vocal cord polyps be treated without surgery?

Written by Li Rui
Otolaryngology
Updated on January 20, 2025
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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 Deng Bang Yu
Otolaryngology
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Is vocal cord polyp surgery under general anesthesia painful?

Vocal cord polyps are benign space-occupying lesions located on the vocal cords, generally occurring unilaterally. Currently, treatment involves surgical removal under general anesthesia, utilizing a microscope and a supportive laryngoscope, or it can be performed using an endoscope; all these procedures require general anesthesia. After the general anesthesia, patients generally do not respond to pain, so the surgery is essentially painless, thus there is no need for excessive worry. After surgery, the vast majority of patients experience no pain. A minority of patients may have mild pain due to mucosal abrasions in the pharyngeal area, but most patients do not suffer pain.

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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.

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Written by Deng Bang Yu
Otolaryngology
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How long is the hospital stay for vocal cord polyp surgery?

Vocal cord polyps are benign occupying lesions on our vocal cords. Generally, the removal of vocal cord polyps is performed under a microscope-supported laryngoscope. The hospital stay for vocal cord polyp surgery is usually short, and the surgery can even be performed in a day clinic. Typically, the stay lasts about 1-3 days, although in different medical units, it can be extended to 3-5 days or even 5-7 days. In any case, it's typically within a week. Moreover, as the procedure for vocal cord polyps is relatively less harmful, the hospital stay is generally short. Post-surgery, it is important to speak less and avoid straining the vocal cords to prevent the recurrence of the polyps.

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Written by Deng Bang Yu
Otolaryngology
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Will vocal cord polyps recur after they are removed?

Vocal cord polyps are polyp-like benign neoplasms that occur on the free edge of the vocal cords. Vocal cord polyps generally require surgical treatment, as medication typically cannot eliminate the polyps. Post-surgery, there is a certain recurrence rate for vocal cord polyps. The recurrence of vocal cord polyps is often related to factors such as excessive voice use, gastroesophageal reflux, or frequent upper respiratory tract infections. Therefore, after surgery for vocal cord polyps, it is important to avoid these factors to prevent recurrence of the polyps.

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Written by Zhang Jun
Otolaryngology
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Can Traditional Chinese Medicine cure vocal cord polyps?

Vocal cord polyps in traditional Chinese medicine are considered incurable because they are a benign tumor that must be surgically removed for a cure. The causes of vocal cord polyps generally include improper long-term voice use, shouting loudly, and excessive fatigue. For instance, teachers and singers are prone to developing vocal cord polyps. These polyps can cause persistent hoarseness in the patient's voice, which progressively worsens. Vocal cord polyps usually occur unilaterally. During an electronic laryngoscopy examination, an abnormal neoplasm can be observed on the anterior middle third of one vocal cord, typically pale white or pale red, soft, painless, and not prone to bleeding. For treatment, the patient needs to undergo local surgical removal to be cured. The surgery, which can be performed under a supporting laryngoscope, involves the excision of the vocal cord polyp, and recovery typically takes about a week before discharge from the hospital. After surgery, patients need to take good care of their vocal cords to prevent recurrence.