Vocal cord polyp general anesthesia surgery process

Written by Li Mao Cai
Otolaryngology
Updated on September 01, 2024
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Vocal cord polyp surgery under general anesthesia currently involves the use of a combined inhalation and general anesthesia approach, employing a supporting laryngoscope for the excision of the vocal cord polyp. Before the surgery begins, general anesthesia is administered. After the patient is under general anesthesia, the doctor uses a supporting laryngoscope to fully expose the vocal cord polyp. Next, through a fibroscope, in conjunction with fiberoptic instruments or a carbon dioxide laser, the vocal cord polyp is completely excised. The source of the vocal cord injury is repaired to make the vocal cord surface smooth, and then the surgery is concluded. After the surgery, the anesthetist waits for the patient to wake up from the general anesthesia before they can be taken back to their room. The overall duration of the procedure, from anesthesia to surgery to awakening, is typically about an hour or so. Of course, treatment needs to be tailored to the specific patient. In some patients, the vocal cord polyps may not be easily exposed under the supporting laryngoscope, which might extend the duration slightly, whereas in others, where the exposure is straightforward, the procedure may be relatively shorter.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be examined by B-ultrasound?

Vocal cord polyps are benign space-occupying lesions of the vocal cords, mainly appearing as polypoid protrusions on the surface of the free edge of the vocal cords, sometimes with a thin stalk, and sometimes with a broad base. In clinical practice, vocal cord polyps are primarily examined using a laryngoscope, and can also be assessed via CT and MRI. However, ultrasound is not used to examine vocal cord polyps, as ultrasound produces many artifacts and the neck’s muscles and soft tissues are very rich, preventing ultrasound from correctly or fully displaying the condition of the vocal cord polyps. In summary, ultrasound is not used clinically to examine vocal cord polyps.

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Written by Xu Qing Tian
Otolaryngology
1min home-news-image

Can vocal cord polyps be cured by taking Jinsang Sanjie Pills?

Patients with vocal cord polyps may find that medications such as Sanjie pills, which promote blood circulation and remove blood stasis, have a certain therapeutic effect. The occurrence of vocal cord polyps is associated with factors such as long-term excessive use of the voice and exposure to cold, leading to polyp proliferation, and patients will experience a noticeable hoarseness in their voice. In the early stages of vocal cord polyps, medication can be used for treatment, and some patients may be cured. However, if the polyps have been proliferating for a long time, medication usually becomes ineffective, and surgical treatment is required. A common surgical method is the excision of vocal cord polyps under laryngoscopic support. After surgery, patients should be careful to rest their voice, avoid excessive voice use, and also avoid consuming spicy and irritating foods. (Please use medication under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What should be noted for vocal cord polyps?

Vocal cord polyps are benign space-occupying lesions on our vocal cords. It is important to note that vocal cord polyps should be surgically removed promptly since once formed, they are unlikely to completely disappear with medication alone. Secondly, after surgery for vocal cord polyps, it is crucial to rest your voice, avoid talking too much, and refrain from shouting loudly, among other activities. Thirdly, diet should be nutritionally rich and light, easily digestible. Avoid using substances that are spicy and irritating, such as cigarettes, alcohol, and chili peppers. Additionally, if there are any pulmonary diseases, like gastroesophageal reflux disease, they should be actively treated.

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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 Zhang Jun
Otolaryngology
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Do vocal cord polyps cause coughing?

Vocal cord polyps generally do not cause coughing in patients. Vocal cord polyps are vocal cord lesions caused by prolonged improper use of the voice, shouting loudly, excessive yelling, or irritation of the vocal cords by acid reflux. They primarily cause the patient's voice to be hoarse and progressively worsen. Vocal cord polyps generally occur on one side. When examined with an electronic laryngoscope, a smooth-surfaced, light red or pale white abnormal growth can be found on the anterior middle third of one vocal cord. The glottis moves well, but closure is incomplete, causing persistent hoarseness in the patient. In terms of treatment, conservative treatment for vocal cord polyps is ineffective, and patients need to undergo surgical treatment. The surgery can be performed with a support laryngoscope to remove the vocal cord polyp. Hospitalization is required for the surgery, and recovery with discharge is possible within about a week.