Is vocal cord polyp surgery under general anesthesia painful?

Written by Deng Bang Yu
Otolaryngology
Updated on February 07, 2025
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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 Deng Bang Yu
Otolaryngology
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Vocal cord polyps should be seen in the ENT (Ear, Nose, and Throat) department.

Vocal cord polyps are common and frequently occurring conditions within the otolaryngology head and neck surgery specialty. Clinically, vocal cord polyps are primarily seen in the otolaryngology head and neck surgery department. In some larger specialized hospitals with detailed subdivisions, there are specific laryngology departments, allowing for treatment to be sought specifically within these departments. Additionally, some hospitals might have separate divisions such as pharyngolaryngology, laryngology, or pharyngolaryngeal head and neck surgery, which are specialized in this area and can also provide appropriate treatment. For hospitals specializing in certain diseases or specific disorders, such as a voice specialty, treatment can also be sought in these specialized departments.

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Written by Xu Qing Tian
Otolaryngology
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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 Li Mao Cai
Otolaryngology
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What should be noted after vocal cord polyp surgery?

The most important thing to pay attention to after vocal cord polyp surgery is to speak as little as possible, which means vocal rest. Typically, vocal rest should last between two to four weeks. The better you adhere to vocal rest, the better your voice will recover after the surgery. Once recovered, continue to minimize speaking and ensure correct pronunciation to prevent recurrence of vocal cord polyps. Another important consideration is avoiding environments with tobacco smoke; do not smoke and try to stay away from places where others are smoking. Diet should be light, avoiding spicy and stimulating foods. Also, manage your emotions in daily life; do not rush or shout, as this can affect your recovery. Even if you do not yell when anxious, it can still lead to a less than optimal post-operative recovery.

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Written by Li Rui
Otolaryngology
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How to care for vocal cord polyps symptoms

The more common symptoms of vocal cord polyps include hoarseness and a recurring sensation of a foreign body in the throat, which is generally a common condition. In daily life, it is necessary to speak as little as possible and avoid overusing the voice, as symptoms such as hoarseness from excessive voice use can significantly worsen and potentially promote further growth of the polyps. It is also recommended to follow a bland diet and avoid spicy and irritating foods, as frequent consumption of spicy foods can exacerbate throat inflammation. Regular follow-up examinations, such as laryngoscopic inspections to observe changes in the polyps, are necessary. If the polyps are large, surgical removal may need to be considered. If they are small, medication and nebulizer treatments can be considered initially to observe the effects.

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Written by Li Mao Cai
Otolaryngology
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The difference between vocal cord polyps and laryngeal cancer

The difference between vocal cord polyps and laryngeal cancer is firstly notable in their nature. Vocal cord polyps are benign lesions, and their removal generally does not significantly affect the patient's quality of life or lifespan. Laryngeal cancer, as the name implies, is a malignant lesion that greatly affects both the patient's quality of life and lifespan. Location-wise, vocal cord polyps are found on the vocal cords, while laryngeal cancer can be located in one of three areas: on the vocal cords, known as glottic laryngeal cancer; below the vocal cords, known as subglottic laryngeal cancer; and above the vocal cords, known as supraglottic laryngeal cancer. The prognosis for vocal cord polyps is very good; after surgery, if the patient rests well, their future quality of life is generally unaffected. Laryngeal cancer is divided into three types: glottic, supraglottic, and subglottic, with glottic being the most common, accounting for about 80%. This type of laryngeal cancer usually presents early symptoms such as hoarseness, similar to vocal cord polyps. Therefore, glottic laryngeal cancer can often be detected early. With prompt and correct treatment, the postoperative results can be good. As it typically involves highly differentiated squamous cell carcinoma, if it is completely excised surgically and regularly reviewed postoperatively, it doesn't greatly impact lifespan or quality of life. In contrast, subglottic and supraglottic laryngeal cancers often show symptoms later, which means they tend to be diagnosed at a later stage, usually at a mid to advanced stage. Supraglottic laryngeal cancer, in particular, is prone to cervical lymph node metastasis, thus usually having a poorer prognosis compared to glottic laryngeal cancer. There's also a higher likelihood of recurrence and metastasis, and the surgery may involve greater trauma. These are the main differences.