Can vocal cord nodules be cured by taking medicine?

Written by Deng Bang Yu
Otolaryngology
Updated on August 31, 2024
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Vocal cord nodules are benign occupying lesions occurring on the free edge of our bilateral vocal cords, and they mainly manifest clinically as progressive hoarseness. Clinically, treatment primarily involves medication. The main treatments are some traditional Chinese medicines that clear the throat, such as Huang's Resounding Pills, and some corticosteroid medications can also be used. In addition to medication, clinical treatment of vocal cord nodules also involves attention to proper vocalization techniques and avoiding the misuse of the voice. With a combination of these methods, the vast majority of cases can be cured, meaning that through medication and proper vocal techniques, most can be healed.

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Written by Li Rui
Otolaryngology
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Is the surgery for vocal cord nodules uncomfortable?

Surgery for vocal cord nodules is not particularly uncomfortable, and as of now, it is not the first-choice treatment option. In fact, most patients can consider conservative treatment. This generally involves oral medications and nebulization therapy, and voice rehabilitation training can also be considered. Most patients can effectively control and alleviate their condition after standardized conservative treatment. If the effects of standardized conservative treatment are not satisfactory, surgery may be considered. The current surgical options include microlaryngoscopic surgery or vocal cord nodule excision under fiberoptic laryngoscopy, both of which are minimally invasive and cause minor damage. General anesthesia can also be considered; during the surgery, patients do not feel particularly uncomfortable. After the surgery, it mainly requires voice rest and continuing with nebulization therapy.

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Written by Deng Bang Yu
Otolaryngology
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Are vocal cord nodules prone to recurrence?

Vocal cord nodules are symmetrical nodular protuberances on the free edges of both vocal cords. Clinically, vocal cord nodules are mainly related to improper use of the voice and are prone to recurrence. Recurrence factors primarily involve inappropriate voice use, voice abuse, and other irritants such as tobacco, alcohol, chili peppers, and other spicy foods, as well as frequent recurring upper respiratory infections. Therefore, clinically, in addition to medication, such as drugs that clear the throat and benefit the voice, attention should also be paid to diet structure and normal voice use to avoid excessive voice abuse.

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Written by Li Rui
Otolaryngology
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How to effectively treat vocal cord nodules?

Vocal cord nodules are a relatively common otolaryngological condition. In terms of treatment, it initially requires a laryngoscopic examination to assess the severity of the condition. Generally, conservative treatment is considered, commonly involving oral traditional Chinese medicine and nebulization therapy. Alongside medication, it's important to avoid excessive use of the voice and to engage in vocal rehabilitation training. Most patients will see gradual improvement in symptoms of hoarseness through these conservative treatments, and nodules may also gradually diminish in some cases. If standardized conservative treatments are ineffective and the symptoms of hoarseness are particularly severe, a small number of patients may consider surgical intervention.

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Written by Li Rui
Otolaryngology
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What should I do if the vocal cord nodules become fibrotic?

Vocal cord nodules fibrosis is relatively common. Firstly, it is necessary to visit an otolaryngology department for a laryngoscopy to assess the severity of the condition. If the symptoms of hoarseness are not very pronounced and the vocal cord nodules are small, it is recommended to rest the voice and avoid excessive use of the voice, with regular follow-ups. If the vocal cord nodules are larger and accompanied by hoarseness, it may be necessary to consider oral medication and nebulization treatment. During the treatment process, laryngoscopy should be repeatedly done to monitor changes in the nodules. A small number of patients may require surgical removal if conservative treatment does not yield satisfactory results.

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Written by Deng Bang Yu
Otolaryngology
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Is surgery necessary for vocal cord nodules?

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.