Dietary precautions for vocal cord nodules

Written by Xu Qing Tian
Otolaryngology
Updated on September 22, 2024
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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 Mao Cai
Otolaryngology
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What should be noted for vocal cord nodules?

Vocal cord nodules primarily require attention to speaking less and proper pronunciation as these measures address the causes of vocal cord nodules, which are due to excessive speaking and improper voicing. Therefore, these two factors need to be carefully considered. Additionally, in daily life, it's important to avoid environments with smoke and alcohol; do not smoke or inhale secondhand smoke. In terms of diet, consume light meals and avoid spicy and irritating foods. Emotionally, do not be hasty and especially avoid yelling, as there is a significant relationship between vocal cord nodules and emotional agitation or impatience.

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Written by Zhang Jun
Otolaryngology
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How to treat vocal cord nodules?

Vocal cord nodules are caused by improper, prolonged use of the voice, excessive strain, or shouting loudly, resulting in bilateral vocal cord lesions. They can lead to persistent hoarseness in patients, with intermittent exacerbations. Vocal cord nodules cause incomplete closure of the glottis. Examination with an electronic laryngoscope reveals symmetrical, pale, nodular protrusions on the anterior middle third of both vocal cords. In terms of treatment, vocal cord nodules can initially be managed conservatively. This involves complete vocal rest for one week, combined with nebulized inhalations to reduce local congestion and edema. After one week, if there is no improvement and the nodules persist, the patient may require excision surgery under supported laryngoscopy. The surgery requires hospitalization, general anesthesia, and patients typically recover and are discharged within a week after the operation.

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Written by Deng Bang Yu
Otolaryngology
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Can people with vocal cord nodules drink alcohol?

Vocal cord nodules are benign neoplasms located on the vocal cords, usually occurring bilaterally and symmetrically. The main clinical symptom is hoarseness. Individuals with vocal cord nodules should avoid alcohol, as drinking can cause the vocal cord mucosa to become congested and swollen, exacerbating vocal cord nodules or chronic inflammation, and worsening the condition. Additionally, alcohol can directly irritate the vocal cords because it is a spicy and irritating substance. Therefore, it is advised not to drink alcohol when you have vocal cord nodules. It is also important to avoid abusing the voice, which includes refraining from long periods of speaking and not screaming loudly. These precautions need to be adhered to.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Early symptoms of vocal cord nodules

Vocal cord nodules, also known as singer's nodules, typically present as symmetrical nodular protrusions at the junction of the anterior and middle one-thirds of the vocal cords, with a relatively broad base. The main symptom is hoarseness of voice. Initially, the hoarseness is mild, characterized by a rough voice or nearly normal voice, such as when the voice is overused and feels fatigued, leading to intermittent bouts of hoarseness. Over time, the symptom of hoarseness worsens, progressing from intermittent to persistent hoarseness, affecting singers who cannot sing and teachers who are unable to teach. Examination with a laryngoscope may reveal small nodular protrusions on the anterior-middle one-third of the vocal cords, with incomplete closure of the glottis.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord nodules be treated with acupuncture?

Vocal cord nodules are bilateral symmetrical benign protrusions that occur on the free edge of the vocal cords, and these protrusions are very small. Clinically, treatment is mainly through medication and primarily through vocal rest, which means speaking less. Thus, vocal cord nodules generally do not require treatment with acupuncture, as acupuncture does not have a significant effect on vocal cord nodules. However, if the vocal cord nodules are accompanied by other factors, the acupuncture treatment is for those other factors and not an indication for the vocal cord nodules. In summary, vocal cord nodules do not need acupuncture treatment, and acupuncture does not have much effect on vocal cord nodules.