Are vocal cord nodules prone to recurrence?

Written by Deng Bang Yu
Otolaryngology
Updated on September 10, 2024
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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.

Other Voices

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Written by Xu Qing Tian
Otolaryngology
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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 Mao Cai
Otolaryngology
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Vocal cord nodules are caused by what?

Vocal cord nodules are mainly caused by improper speaking, excessive speaking, emotional excitement, and shouting. The most common symptom of vocal cord nodules is a hoarse voice. This condition is often seen in people who speak a lot, such as teachers, salespeople, and singers. These include individuals who tend to shout, are impatient, and speak improperly. Such cases are commonly seen in clinics, especially among children. For example, children who shout and speak carelessly at school during the semester may develop vocal cord nodules with hoarseness as a symptom. Additionally, emotionally excitable and impatient people can develop nodules. Some grandparents, who often yell at their children at home, also tend to develop vocal cord nodules. In summary, those who speak too much, shout, mispronounce sounds, or are emotionally excitable are at risk of developing vocal cord nodules.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Can vocal cord nodules heal by themselves?

Vocal cord nodules, also known as singer's nodules, typically involve symmetrical nodular protrusions at the junction of the anterior and middle thirds of both vocal cords. This condition is commonly seen in individuals who use their voices professionally or excessively, such as actors, teachers, individuals in vocations that require shouting, and children. The primary cause of this condition is attributed to long-term excessive or improper use of the voice. Early stage vocal cord nodules can disappear by allowing the vocal cords to rest sufficiently through voice rest; in children, vocal cord nodules might disappear after puberty. If these nodules do not resolve with conservative treatment and voice rest, medical treatment or surgery may be necessary.

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Written by Li Mao Cai
Otolaryngology
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The best treatment method for vocal cord nodules

Vocal cord nodules are often caused by excessive talking, loud speaking, or overuse of the voice. They are commonly found in individuals who frequently use their voices in their professions, such as salespeople, teachers, and singers. The best treatment approach is to address the root cause, which involves speaking less and using proper vocal techniques. This is the optimal treatment plan. However, this method may not always be effective, as some people, due to their occupational needs, cannot fully achieve vocal rest. If vocal rest does not effectively treat the condition, surgical intervention may then be necessary. During the treatment period, after diagnosing vocal cord nodules, vocal rest is the preferred approach. If vocal rest is ineffective or does not fully resolve the nodules, surgery may be required as a follow-up treatment.

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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.