What should I do if my vocal cord polyps are inflamed?

Written by Xu Qing Tian
Otolaryngology
Updated on November 12, 2024
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Patients with vocal cord polyps often experience inflammation, typically caused by the polyps which make it difficult to speak, subsequently leading to edema in the laryngeal mucosa and causing acute laryngitis. In such cases, it is essential to first rest the voice and avoid excessive vocalization. At the same time, oral administration of throat-clearing medicine and antibiotics is necessary to reduce inflammation. Patients diagnosed with vocal cord polyps should undergo support laryngoscopy surgery to remove the polyp tissue once contraindications have been ruled out, thus restoring normal vocal function. Post-surgery, it is crucial to strictly rest the voice for three to four weeks, while also avoiding spicy, irritating foods, and cold beverages to prevent exacerbating local inflammation.

Other Voices

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Written by Li Mao Cai
Otolaryngology
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What does it feel like to have vocal cord polyps?

Vocal cord polyps generally do not cause any special sensations by themselves, but some patients may experience pain, stiffness, and fatigue. The main symptom is a hoarse voice, meaning the voice becomes raspier than before, making it difficult to articulate, especially when trying to sing or speak in high tones. In addition to hoarseness, other symptoms can include a feeling of vocal fatigue, throat pain, and an irritating cough. However, these symptoms can vary from person to person, with hoarseness being the primary manifestation.

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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.

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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 Li Mao Cai
Otolaryngology
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Is it necessary to have surgery for vocal cord polyps?

After diagnosing vocal cord polyps, it is necessary to decide whether surgery is needed based on the size of the polyps and the effectiveness of conservative treatment. If the polyps appear large under laryngoscopy and have a broad base, and conservative treatment is judged to be ineffective, it is recommended to opt for surgical treatment as soon as possible. If the polyps are small, and the doctor assesses that there is a possibility of recovery through conservative treatment and voice rest, then conservative treatment can be initially adopted for a period of time. If after conservative treatment the vocal cord polyps have not completely disappeared, or even worsened, it is also advisable to pursue aggressive surgical treatment. Therefore, whether surgery is necessary for vocal cord polyps needs to be determined by the doctor based on the results of laryngoscopy and conservative treatment.

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Written by Xu Qing Tian
Otolaryngology
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Do vocal cord polyps cause a sore throat?

Patients with vocal cord polyps usually do not experience throat pain. The pathological basis for the occurrence of vocal cord polyps is edema and hyperplasia in the mucosal layer and Reinke's layer of the vocal cords, with hoarseness being the main symptom. The causes generally involve improper or excessive use of the voice, as well as harmful stimuli such as smoking and drinking, which lead to the proliferation of vocal cord polyps. The main treatments for vocal cord polyps currently include oral medications to clear the throat and benefit the voice, and surgical treatment. Surgical treatment primarily involves the endoscopic removal of the vocal cord polyps with support, and the patient must remain silent for three to four weeks post-surgery to allow the mucosal epithelium to recover, thereby improving the symptoms of hoarseness. (The use of medications should be under the guidance of a doctor.)