Will vocal cord polyps recur after they are removed?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
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Vocal cord polyps are polyp-like benign neoplasms that occur on the free edge of the vocal cords. Vocal cord polyps generally require surgical treatment, as medication typically cannot eliminate the polyps. Post-surgery, there is a certain recurrence rate for vocal cord polyps. The recurrence of vocal cord polyps is often related to factors such as excessive voice use, gastroesophageal reflux, or frequent upper respiratory tract infections. Therefore, after surgery for vocal cord polyps, it is important to avoid these factors to prevent recurrence of the polyps.

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Written by Li Mao Cai
Otolaryngology
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How long does it take to recover normally after vocal cord polyp surgery?

Vocal cord polyp surgery usually involves the use of general anesthesia and a supported laryngoscope for the removal of the polyps. This type of surgery is relatively minimally invasive, so the general recovery time for vocal cord polyp surgery is about two to four weeks. During this two to four week period, it is crucial to rest, which means vocal rest and speaking as little as possible to aid the healing of the mucous membrane after the polyp removal and to prevent mucosal edema due to excessive phonation, which is detrimental to recovery. Post-surgery phonation is a very important factor in determining the pace of recovery. If phonation is inaccurate post-surgery, or if there is excessive talking, the recovery time may be extended. If proper vocal rest is maintained and phonation is correct and careful, recovery can be quicker. Therefore, some people may recover in two weeks, while others may take more than four weeks or even longer. In addition to vocal rest post-surgery, it is essential to ensure accurate phonation. It is crucial not to speak in a subdued voice; speak normally when necessary, or do not speak at all.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be treated without surgery?

Vocal cord polyps are an occupying lesion in the throat area, taking the form of relatively larger polypoid formations. Vocal cord polyps typically require surgical removal, mainly performed under a microscope-supported laryngoscope. In the early stages of vocal cord polyps or when the polyps are small, some doctors may use medications, such as corticosteroid hormones or certain traditional Chinese medicines that clear the voice and benefit the throat. However, as vocal cord polyps tend to grow larger, reaching the extent of polyp development, it is difficult to treat them with medications alone and eliminate them pharmacologically. Thus, the prevailing recommendation for vocal cord polyps is surgical removal.

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Written by Zhang Jun
Otolaryngology
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Can vocal cord polyps eat bayberry?

People with vocal cord polyps should avoid eating bayberries, as bayberries are acidic and can aggravate acid reflux after consumption. The acid fluid and vapors can also irritate the throat, leading to the enlargement or recurrence of vocal cord polyps. Vocal cord polyps are generally caused by prolonged improper use of the voice, such as yelling loudly, excessive fatigue, and irritation from acid reflux. These polyps can cause the voice to become hoarse and progressively worsen. During examination, a pale, lychee-like mass can be found on the anterior-middle third of one vocal cord, leading to incomplete closure of the vocal cords. Regarding treatment, medication is ineffective for vocal cord polyps. Patients need to undergo a vocal cord polyp removal surgery under supported laryngoscopy. The surgery requires hospitalization and general anesthesia, and postoperative antibiotics are used to prevent local infection. Recovery is usually complete within about a week, allowing for discharge from the hospital.

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Written by Li Rui
Otolaryngology
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Can people with vocal cord polyps eat sea cucumber?

Vocal cord polyps are a relatively common otolaryngological disease with various clinical symptoms, the most common being hoarseness, which may be caused by excessive use of the voice. In terms of diet, sea cucumbers are safe to eat. Sea cucumber is a common type of seafood and does not have specific side effects on vocal cord polyps, nor does it affect the treatment effectiveness of vocal cord polyps. Generally, there is no direct conflict with the medications used to treat vocal cord polyps, so patients with vocal cord polyps can eat sea cucumbers normally. However, it is advised not to consume particularly spicy foods, and it is mainly necessary to complement with medication treatment or surgical treatment.

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Written by Li Rui
Otolaryngology
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Why does vocal cord polyp surgery require general anesthesia?

Vocal cord polyps are a relatively common type of ENT (Ear, Nose, and Throat) disorder. For larger polyps where conservative treatment with medication is ineffective, surgical treatment should be considered. Currently, the main surgical procedure is the excision of vocal cord polyps under a supported laryngoscope, which requires general anesthesia. This is because the procedure is difficult for patients to endure without general anesthesia, as the supported laryngoscope is a type of metal tube that needs to be inserted through the mouth into the pharynx. Local anesthesia would be insufficient as patients might struggle to cooperate and tolerate the pain or nausea, hence general anesthesia is necessary for the surgery.