Is surgery necessary for vocal cord nodules?

Written by Deng Bang Yu

Otolaryngology

Updated on September 08, 2024

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Vocal cord nodules are benign lesions on the vocal cords, primarily characterized by bilateral symmetrical protrusions on the free edge of the vocal cords. These protrusions are small and nodular. The majority of vocal cord nodules do not require surgical intervention and are mainly treated with medication. For those vocal cord nodules that do not improve with medication or voice correction, they may gradually progress to vocal cord polyps or other lesions. Only after an assessment deems surgery appropriate, is surgery considered. Overall, vocal cord nodules do not require surgical treatment.

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Written by Li Mao Cai

Otolaryngology

50sec

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How long does it usually take for vocal cord nodules to heal?

Vocal cord nodules are primarily caused by improper pronunciation or overuse of the voice, commonly seen in people who use their voices frequently. Treatment primarily involves vocal rest, which means speaking less and pronouncing correctly. The period of vocal rest usually needs to be relatively long. If the vocal cord nodules are larger, then an even longer period of vocal rest may be required, generally lasting from two to four weeks. Clinically, most cases require four weeks. The effects are generally better after resting for four weeks. During this period, treatment can be complemented with medications, such as nebulized inhalation, which can speed up recovery. The premise is to first undergo vocal rest followed by medication treatment, which generally takes about two to four weeks.

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Written by Deng Bang Yu

Otolaryngology

42sec

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Do vocal cord nodules hurt?

Vocal cord nodules are symmetric, benign protrusions that occur on the free edge of the vocal cords. Clinically, the main symptoms of vocal cord nodules include a hoarse voice and fatigue after prolonged speaking, typically without any sensation of pain or causing any pain. Treatment primarily involves medication, voice therapy, and for some vocal cord nodules that appear after an acute upper respiratory infection, hormonal treatment may be required, or combined with some antibiotics. In summary, vocal cord nodules do not cause painful symptoms, and treatment focuses mainly on voice training and rest for the vocal cords.

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Written by Zhang Jun

Otolaryngology

1min 7sec

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Scraping therapy is effective for vocal cord nodules

Vocal cord nodules are ineffective with scraping therapy. Vocal cord nodules are bilateral vocal fold lesions caused by improper voice use over long periods, excessive strain, loud yelling, or irritation from gastric acid reflux. They can cause persistent hoarseness in the patient, progressively worsening over time. If a patient experiences long-term hoarseness without improvement, it is essential to undergo an examination with an electronic laryngoscope at a hospital. This can reveal a symmetrical, smooth-surfaced, protein-based abnormal growth at the anterior-middle third of both vocal cords, leading to incomplete closure of the vocal folds, which results in hoarseness. Treatment requires surgical intervention, as scraping therapy is ineffective. The procedure involves the removal of the vocal cord nodules under general anesthesia with a surgical laryngoscope. Post-surgery, antibiotics are used to prevent local infection and recovery is typically within about a week for hospital discharge.

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Written by Xu Qing Tian

Otolaryngology

56sec

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Dietary precautions for vocal cord nodules

Vocal cord nodules, also known as singer's nodules, are most commonly seen in professions such as teachers, singers, and speakers. These professions generally involve extensive use of the voice, which can lead to the development of bilateral symmetrical nodules on the vocal cords, primarily causing the patient to have a hoarse voice and difficulty continuing with their work. Treatment generally requires surgery, although milder cases may be treated with medication. During and after the treatment, whether surgical or medicinal, attention must be paid to certain lifestyle and dietary practices. Dietary precautions mainly involve avoiding spicy and irritating foods, as well as reducing smoking and alcohol consumption. In terms of lifestyle, it is important to minimize voice use as much as possible within the first month after surgery to avoid further strain on the vocal cords.

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Written by Li Rui

Otolaryngology

56sec

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Can vocal cord nodules cause a sore throat?

Vocal cord nodules do not cause sore throats. The symptoms of vocal cord nodules mainly manifest as hoarseness. Some patients experience episodic hoarseness, while others have persistent hoarseness. Moreover, the symptoms of hoarseness become more noticeable after excessive voice use. Some patients may also have laryngitis, which could lead to throat pain. Therefore, upon detecting vocal cord nodules, it is necessary to visit an otolaryngology clinic. An examination using a laryngoscope and routine blood tests can be conducted to assess the severity of the condition. Most patients can consider conservative treatment with medications; commonly used treatments include oral traditional Chinese medicine, combined with nebulization, and concurrent vocal rehabilitation training. (Please use medication under the guidance of a professional physician.)