Can vocal cord nodules be treated without surgery?

Written by Li Rui
Otolaryngology
Updated on January 18, 2025
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Vocal cord nodules are a relatively common otolaryngological condition. In treatment, most patients may not require surgery. Generally, it is recommended to first visit an otolaryngologist for a laryngoscopic examination to assess the severity of the vocal cord nodules. If the nodules are small and the symptoms of hoarseness are not particularly severe, treatment usually involves conservative medication, commonly oral medications and nebulization therapy. In addition, voice rehabilitation training can be conducted. Many patients experience gradual improvement in voice hoarseness and reduction of the vocal cord nodules through this treatment. Some patients may even see the nodules disappear, but regular follow-up visits are necessary as there is a possibility of recurrence.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord nodules be cured by taking medicine?

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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What should I pay attention to for vocal cord nodules usually?

Vocal cord nodules are a relatively common ENT (Ear, Nose, and Throat) disorder, and there are several aspects to be mindful of in daily life. The first aspect is to avoid excessive use of the voice. Frequent overuse can exacerbate symptoms of hoarseness and potentially worsen the condition of the vocal cord nodules. The second aspect concerns diet; it is advisable to eat lightly and avoid spicy and irritant foods. The third aspect pertains to lifestyle habits; do not smoke or drink alcohol. Both tobacco and alcohol are strong irritants to the mucous membranes and vocal cords, and they can potentially lead to a worsening of the vocal cord nodules.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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How to treat vocal cord nodules

Vocal cord nodules, also known as singer's nodules, are typically located at the junction of the anterior and middle thirds of both vocal cords, featuring symmetrical nodular protrusions. They are more commonly found in individuals who use their voices professionally, such as singers, teachers, or other vocations that involve frequent shouting, as well as in children. Prolonged or improper use of the voice is a major cause of this condition. Therefore, during treatment, voice rest is primarily advised. Early stage vocal cord nodules can spontaneously resolve with sufficient vocal rest, and nodules in children often disappear naturally during puberty. Additionally, medication can be used for treatment, such as traditional Chinese medicines, including Jin Sang San Jie Wan and Kai Yin Pills. If conservative treatment fails, surgical removal of the vocal cord nodules under fiberoptic laryngoscopy can be performed, followed by a two-week voice rest period. Post-surgery, it is recommended to inhale medicated vapors, avoid spicy and irritating foods, drink plenty of water, avoid staying up late, and refrain from excessive voice use or shouting.

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Written by Zhang Jun
Otolaryngology
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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 Zhang Jun
Otolaryngology
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What nebulization is used for vocal cord nodules?

Nebulized inhalation is very effective in treating vocal cord nodules. It requires the use of corticosteroids, as corticosteroids can reduce congestion and edema on the surface mucosa of the vocal cords, which is helpful for the recovery of vocal cord nodules. Vocal cord nodules are caused by improper or excessive use of the voice over a long period, loud and strenuous talking, and irritation from gastric acid reflux, leading to congestion, edema, and hyperplasia of the vocal cord surface mucosa. Patients may experience persistent hoarseness that progressively worsens. Vocal cord nodules are generally bilateral. Examination with a laryngoscope can reveal pale, granular neoplasms at the anterior-middle third of both vocal cords. Conservative treatment, such as nebulized inhalation, can be very effective initially. Voice rest, or refraining from speaking, is also necessary. If conservative treatment is ineffective, local surgical excision may be required for a cure.