The difference between vocal cord polyps and laryngeal cancer

Written by Li Mao Cai
Otolaryngology
Updated on September 10, 2024
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The difference between vocal cord polyps and laryngeal cancer is firstly notable in their nature. Vocal cord polyps are benign lesions, and their removal generally does not significantly affect the patient's quality of life or lifespan. Laryngeal cancer, as the name implies, is a malignant lesion that greatly affects both the patient's quality of life and lifespan. Location-wise, vocal cord polyps are found on the vocal cords, while laryngeal cancer can be located in one of three areas: on the vocal cords, known as glottic laryngeal cancer; below the vocal cords, known as subglottic laryngeal cancer; and above the vocal cords, known as supraglottic laryngeal cancer. The prognosis for vocal cord polyps is very good; after surgery, if the patient rests well, their future quality of life is generally unaffected. Laryngeal cancer is divided into three types: glottic, supraglottic, and subglottic, with glottic being the most common, accounting for about 80%. This type of laryngeal cancer usually presents early symptoms such as hoarseness, similar to vocal cord polyps. Therefore, glottic laryngeal cancer can often be detected early. With prompt and correct treatment, the postoperative results can be good. As it typically involves highly differentiated squamous cell carcinoma, if it is completely excised surgically and regularly reviewed postoperatively, it doesn't greatly impact lifespan or quality of life. In contrast, subglottic and supraglottic laryngeal cancers often show symptoms later, which means they tend to be diagnosed at a later stage, usually at a mid to advanced stage. Supraglottic laryngeal cancer, in particular, is prone to cervical lymph node metastasis, thus usually having a poorer prognosis compared to glottic laryngeal cancer. There's also a higher likelihood of recurrence and metastasis, and the surgery may involve greater trauma. These are the main differences.

Other Voices

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Written by Xu Qing Tian
Otolaryngology
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Symptoms of recurrent vocal cord polyps

Vocal cord polyps are a common and frequently occurring illness, primarily characterized by symptoms such as hoarseness and throat discomfort. After surgical removal of vocal cord polyps through suspension laryngoscopy, the patient's voice may still be hoarse in the short term. This hoarseness is mainly due to postoperative mucosal edema, and the general recovery period requires three to four weeks. Patients need to rest their voice and reduce vocal usage. Dietary precautions include avoiding spicy and irritating foods and reducing the incidence of colds and coughs. If a patient experiences a recurrence of vocal cord polyps, the main symptom is hoarseness. This can be confirmed through an examination with an electronic laryngoscope to determine whether the vocal cord polyps have recurred. There is still a certain probability of recurrence, which mainly depends on how the patient protects their voice in daily life.

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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 Xu Qing Tian
Otolaryngology
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Do vocal cord polyps cause a sore throat?

Patients with vocal cord polyps usually do not experience throat pain. The pathological basis for the occurrence of vocal cord polyps is edema and hyperplasia in the mucosal layer and Reinke's layer of the vocal cords, with hoarseness being the main symptom. The causes generally involve improper or excessive use of the voice, as well as harmful stimuli such as smoking and drinking, which lead to the proliferation of vocal cord polyps. The main treatments for vocal cord polyps currently include oral medications to clear the throat and benefit the voice, and surgical treatment. Surgical treatment primarily involves the endoscopic removal of the vocal cord polyps with support, and the patient must remain silent for three to four weeks post-surgery to allow the mucosal epithelium to recover, thereby improving the symptoms of hoarseness. (The use of medications should be under the guidance of a doctor.)

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

Patients with vocal cord polyps can eat beef. Beef is a common type of meat and does not have any side effects on vocal cord polyps, nor does it exacerbate the condition or affect the treatment outcomes. It does not directly conflict with medications used to treat vocal cord polyps. For patients with vocal cord polyps, it is recommended to follow a light diet and avoid spicy and irritating foods, smoking, and drinking alcohol. Additionally, timely medical treatment should be considered. For some patients where the condition of the vocal cord polyps is severe and medical treatment is ineffective, surgery may need to be considered.

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Written by Li Rui
Otolaryngology
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Do vocal cord polyps cause a sensation of a foreign body?

A small subset of patients may feel a foreign body sensation in their vocal cord system. Generally, if the polyp is small, it is unlikely to cause a feeling of a foreign body. Most commonly, it causes hoarseness. If the sensation of a foreign body in the throat is prominent, this condition is primarily considered to be caused by chronic pharyngitis. Of course, if the vocal cord polyp is large, especially if it is a pedunculated vocal cord polyp, movement of the vocal cords, such as during speaking or breathing, may cause a sensation of a foreign body in the throat. It can also cause hoarseness, and more severe cases may be accompanied by nausea, vomiting, and difficulty breathing. If there are particularly severe and large bilateral vocal cord polyps, intense activity may lead to breathing difficulties and even cause suffocation due to impaired breathing.