Do vocal cord polyps have to be surgically removed?

Written by Zhang Jun
Otolaryngology
Updated on February 12, 2025
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Vocal cord polyps must be treated surgically. Vocal cord polyps are caused by improper vocal use for an extended period, overexertion, and yelling, leading to vocal cord lesions. Typically, the disease affects only one vocal cord, causing the patient's voice to be hoarse, with symptoms worsening continuously. During an examination with an electronic laryngoscope, a pale white or pale red smooth granule can be observed on the anterior middle third of the unilateral vocal cord, resulting in incomplete closure of the glottis and consequently a hoarse voice.

In terms of treatment, conservative management for vocal cord polyps is ineffective. Patients must undergo a vocal cord polyp removal surgery under suspension laryngoscopy. The surgery requires hospitalization and general anesthesia, followed by the use of antibiotics postoperatively to avoid local infection. Recovery usually allows discharge from the hospital after about a week. However, after recovery, patients still need to speak softly and sparingly, avoid catching colds, and prevent recurrence.

(The use of medications should be conducted under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Can people with vocal cord polyps eat spicy food?

Vocal cord polyps are a relatively common otolaryngological condition. It is advised to avoid spicy foods in the diet. This type of food tends to irritate the vocal cords significantly, potentially causing congestion and edema in the vocal cords, and aggravating the condition of the vocal cord polyps. Moreover, it may also lead to further worsening of hoarseness. Some patients may even develop acute pharyngitis, which can cause throat pain, breathing difficulties, and possibly even fever. After the onset of vocal cord polyps, it is necessary for patients to visit an otolaryngology department, undergo a laryngoscopy to assess the condition, and consider medical conservative treatment or surgical removal depending on the case.

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Written by Zhang Jun
Otolaryngology
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How to take care of vocal cord polyps in daily life?

Vocal cord polyps are primarily caused by improper voice use, shouting loudly, and excessive fatigue, leading to vocal cord lesions. They cause persistent hoarseness in patients and progressively worsen. Vocal cord polyps generally occur on one side. If a patient experiences persistent hoarseness, they should first visit a hospital for an examination using a laryngoscope. In the anterior-middle third of one vocal cord, a pale white or pale red, smooth-surfaced abnormal neoplasm will be found. This causes incomplete closure of the vocal cords and results in hoarseness. For treatment, vocal cord polyps require the removal through endoscopic support with a laryngoscope. Surgery requires hospitalization, and complete vocal rest for a week post-surgery, along with speaking softly and eating a bland diet, can gradually improve the condition and prevent recurrent episodes.

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Written by Li Rui
Otolaryngology
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Can vocal cord polyps turn cancerous?

Vocal cord polyps themselves are a type of benign lesion, with a very, very small chance of becoming malignant. However, if vocal cord polyps recur frequently, especially in conjunction with unhealthy lifestyle habits such as long-term smoking and drinking, there indeed exists a possibility of malignant transformation. Overall, though, this probability is relatively low, and the vast majority of cases are benign. However, in cases of frequent recurrence, it is important to watch for moderate or severe atypical hyperplasia, as this condition could potentially progress to cancer. Regular laryngoscopic examinations are needed in such cases, typically every three to six months. Additionally, it is important to avoid smoking and drinking, and to avoid excessive use of the voice.

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Written by Li Rui
Otolaryngology
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What should not be eaten with vocal cord polyps?

Vocal cord polyps are a relatively common otolaryngological ailment. In terms of diet, it is advised not to consume spicy and irritating foods such as chili peppers, Sichuan pepper, and black pepper, as well as foods that are likely to cause allergies. These foods can directly irritate the throat and vocal cords, potentially exacerbating symptoms such as hoarseness and possibly causing throat pain and a sensation of a foreign object in the throat. Patients with vocal cord polyps should visit an otolaryngology clinic after symptoms appear. Routine blood tests and laryngoscopy can help determine the specific cause and extent of the condition, which then facilitates targeted treatment.

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Written by Deng Bang Yu
Otolaryngology
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Vocal cord polyps should be seen by the ENT (Ear, Nose, and Throat) department.

Vocal cord polyps are benign neoplasms that occur on the free edge of the vocal cords. Therefore, they are primarily treated in the otolaryngology departments of clinics. In larger comprehensive hospitals, where specialties are more detailed, one might see an expert in the pharyngology or laryngology departments. In traditional Chinese medicine hospitals, patients might visit the department of otorhinolaryngology, which is included within the broader five senses (otorhinolaryngology) department. In general, the treatment of vocal cord polyps is predominantly managed by otolaryngologists, with the main treatment method being surgical removal of the polyps. After surgery, it is recommended to speak less to avoid the recurrence of the polyps.