Vocal cord nodules


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.


Can I eat seafood with vocal cord nodules?
Patients with vocal cord nodules can eat seafood, as it does not exacerbate the condition, nor does it generally interact directly with medications used to treat vocal cord nodules, or affect the treatment outcomes. Therefore, it is generally safe for patients with vocal cord nodules to consume seafood. However, it is advised not to eat spicy and irritating foods, and to avoid smoking and drinking alcohol. These foods or poor lifestyle habits can significantly impact the condition, potentially worsening it. It is necessary to visit an otolaryngologist for standardized treatment and to have regular follow-ups to monitor the treatment effects.


Will the voice change due to vocal cord nodules get better?
After surgery for vocal cord nodules, the voice will definitely improve and will not cause persistent hoarseness. Vocal cord nodules are vocal cord lesions caused by improper use of the voice over a long time, such as loud shouting or fatigue, and are commonly seen in teachers and singers. They can cause persistent hoarseness in patients and progressively worsen. Generally, vocal cord nodules occur bilaterally. Examination with an electronic laryngoscope reveals a symmetrical, pale white, smooth-surfaced neoplasm in the anterior-middle third of both vocal cords, with good vocal cord mobility and incomplete closure of the glottis. In terms of treatment, patients need to undergo vocal cord nodule removal surgery under supported laryngoscopy. The surgery requires hospitalization under general anesthesia, and patients can usually recover and be discharged a week after surgery.


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.


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.


Can you drink honey with vocal cord nodules?
Patients with vocal cord nodules can drink honey. Honey is a common food that does not exacerbate the condition of vocal cord nodules, nor does it affect the treatment outcome of vocal cord nodules. However, long-term consumption of honey is not recommended due to its high sugar content, which may lead to excessive sugar intake and impact overall health. For patients with vocal cord nodules, it is necessary to visit an ENT (Ear, Nose, and Throat) department after the onset of symptoms for a laryngoscopy to assess the severity of the condition. Generally, treatment may include oral medications combined with nebulization therapy. During the treatment process, regular follow-ups are needed to monitor the effects of the treatment. (Specific medications should be taken under the guidance of a physician.)


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.


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.


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.


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.