Can vocal cord polyps be treated without surgery?

Written by Zhang Jun
Otolaryngology
Updated on December 26, 2024
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Vocal cord polyps must be surgically treated; otherwise, they will further aggravate. The cause of vocal cord polyps is often due to improper long-term vocal use, shouting loudly, or excessive fatigue. Alternatively, it can be caused by a digestive system disorder, where acid reflux stimulates and leads to vocal cord lesions. Patients will experience persistent hoarseness, and it tends to progressively worsen.

Vocal cord polyps generally affect one side. During an examination with an electronic laryngoscope, a smooth, light red or light white abnormal growth can be observed at the anterior-middle third of one vocal cord. The growth is soft and painless, with good vocal cord mobility, but incomplete glottic closure. In terms of treatment, conservative management is ineffective, and the patient requires direct laryngoscopy for polyp removal. The surgery requires hospitalization, and the patient can typically recover and be discharged within about a week.

Other Voices

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Written by Li Rui
Otolaryngology
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Can people with vocal cord polyps eat sea cucumber?

Vocal cord polyps are a relatively common otolaryngological disease with various clinical symptoms, the most common being hoarseness, which may be caused by excessive use of the voice. In terms of diet, sea cucumbers are safe to eat. Sea cucumber is a common type of seafood and does not have specific side effects on vocal cord polyps, nor does it affect the treatment effectiveness of vocal cord polyps. Generally, there is no direct conflict with the medications used to treat vocal cord polyps, so patients with vocal cord polyps can eat sea cucumbers normally. However, it is advised not to consume particularly spicy foods, and it is mainly necessary to complement with medication treatment or surgical treatment.

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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 Deng Bang Yu
Otolaryngology
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Vocal cord polyps minimally invasive surgery, how long until discharge?

Vocal cord polyps are benign tumor-like lesions that occur on the vocal cords. Clinically, they are primarily treated through surgery, which involves the removal of the polyps. Currently, minimally invasive surgery for vocal cord polyps is mainly performed under a surgical microscope with the support of a laryngoscope. Typically, hospitalization for this surgery lasts about three to five days, although a stay of around three days may also be sufficient, and it is treated as an emergency procedure. There is a growing trend for treating vocal cord polyps as day surgery in outpatient clinics, with approximately one day of hospitalization. This means that the surgery can be performed and the patient can be discharged on the same day. Day surgery requires a certain level of medical expertise and is possible in some high-level hospitals that can support this type of outpatient procedure.

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Written by Deng Bang Yu
Otolaryngology
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What should be noted for vocal cord polyps?

Vocal cord polyps are benign space-occupying lesions on our vocal cords. It is important to note that vocal cord polyps should be surgically removed promptly since once formed, they are unlikely to completely disappear with medication alone. Secondly, after surgery for vocal cord polyps, it is crucial to rest your voice, avoid talking too much, and refrain from shouting loudly, among other activities. Thirdly, diet should be nutritionally rich and light, easily digestible. Avoid using substances that are spicy and irritating, such as cigarettes, alcohol, and chili peppers. Additionally, if there are any pulmonary diseases, like gastroesophageal reflux disease, they should be actively treated.

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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.