The causes of recurrent vocal cord polyps

Written by Xu Qing Tian
Otolaryngology
Updated on March 02, 2025
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The recurrence of vocal cord polyps is primarily due to patients not taking care to protect their voice usage, improper voice use, and failing to quit bad habits such as smoking and drinking. The main cause of vocal cord polyps is edema in the Reinke's layer of the vocal cord mucosa, which leads to the proliferation of the surface mucosa. The main symptom in patients is a hoarse voice. After undergoing support laryngoscopy and surgical removal of the vocal cord polyps, patients are required to refrain from speaking for three to four weeks to allow the vocal cord mucosa to recover and heal. If patients do not take care of their voice during this period, there is a possibility of recurrence of the vocal cord polyps.

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Written by Xu Qing Tian
Otolaryngology
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Is the recurrence rate of vocal cord polyps high?

Vocal cord polyps are a common and frequently occurring condition in otolaryngology. Usually, if patients strictly protect their voice after undergoing vocal cord polyp surgery, the recurrence rate is generally low. However, patients in professions such as teaching, sales, and singing, who often strain their voices, may experience recurrence of vocal cord polyps. The formation of vocal cord polyps is due to the rupture of capillaries and edema in the vocal cord mucosa, leading to neoplasm proliferation. An electronic laryngoscopy can be used to clearly diagnose the disease. Patients with vocal cord polyps should be advised to strictly rest their voice and avoid excessive vocal strain. Surgical removal of the vocal cord polyps is necessary to cure the condition.

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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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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 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 Li Rui
Otolaryngology
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Is vocal cord polyp removal painful?

Vocal cord polyp removal surgery generally does not cause notable pain. Currently, there are mainly two types of surgery for vocal cord polyps. The first type is under general anesthesia, and the second type is under local anesthesia, including topical anesthesia. If you choose surgery under general anesthesia, the patient will be under anesthesia throughout the procedure and will not feel pain. However, there might be varying degrees of pain after the surgery, although it is generally tolerable. If you choose surgery under topical anesthesia, there might be some pain during the procedure, but it typically isn't severe. Post-surgery pain is usually not too intense, but regular follow-ups are necessary, mainly to monitor for any recurrence of the polyps.