Vocal cord polyps minimally invasive surgery, how long until discharge?

Written by Deng Bang Yu
Otolaryngology
Updated on September 12, 2024
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Vocal cord polyps are benign tumor-like lesions that occur on the vocal cords. Clinically, they are primarily treated through surgery, which involves the removal of the polyps. Currently, minimally invasive surgery for vocal cord polyps is mainly performed under a surgical microscope with the support of a laryngoscope. Typically, hospitalization for this surgery lasts about three to five days, although a stay of around three days may also be sufficient, and it is treated as an emergency procedure. There is a growing trend for treating vocal cord polyps as day surgery in outpatient clinics, with approximately one day of hospitalization. This means that the surgery can be performed and the patient can be discharged on the same day. Day surgery requires a certain level of medical expertise and is possible in some high-level hospitals that can support this type of outpatient procedure.

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Written by Deng Bang Yu
Otolaryngology
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Foods to avoid with vocal cord polyps

Vocal cord polyps are benign neoplasms of the vocal cords, clinically primarily polyps at the anterior end of the vocal cords, mainly manifesting as hoarseness. The treatment mainly involves the removal of the vocal cord polyps under a microscope or endoscope. After surgery, we need to pay attention to certain dietary aspects. First, some spicy and irritating foods, such as chili peppers and alcohol, should be avoided. Second, it is important to regulate the temperature of foods; overly cold items, such as popsicles, or overly hot items, such as hot pot, should be consumed with caution. The third point is to avoid certain foods that can cause allergies, such as mangoes, especially if the patient has an allergic constitution; these should be avoided or minimized in the diet.

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Written by Li Rui
Otolaryngology
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Can small vocal cord polyps be managed without surgery?

Vocal cord polyps are a fairly common otolaryngological condition. In terms of treatment, if the absorption is minimal, conservative pharmacological treatment is generally considered first rather than surgical intervention. Common treatments include oral medications, often supplemented with nebulization. Typically, with standardized pharmacological treatment, symptoms of hoarseness can gradually improve within one to two weeks. However, regular laryngoscopy follow-ups are necessary to monitor changes in the condition. Additionally, voice training can be considered to improve everyday vocal techniques, which can also help alleviate symptoms of hoarseness. Overall, most patients with minor vocal cord polyps can be successfully treated conservatively. (Specific medication use should be conducted under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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How long should one rest their voice for vocal cord polyps?

Vocal cord polyps are a common and frequent disease in otolaryngology. The main symptoms of vocal cord polyps in patients are usually hoarseness and vocal fatigue. Diagnosis can be confirmed through examination methods such as electronic laryngoscopy or indirect laryngoscopy. The primary treatment for vocal cord polyps is surgical removal of the polyp tissue to restore normal vocal function. After the surgery for vocal cord polyps, it is generally recommended that patients refrain from speaking for three to four weeks to promote the repair of the vocal cord mucosa and avoid congestion and swelling of the local mucosa due to excessive voicing or overuse, which can affect the recovery time or degree of recovery and are likely to lead to recurrence in patients.

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Written by Li Mao Cai
Otolaryngology
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Vocal cord polyp general anesthesia surgery process

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 Yao Jun
Otolaryngology - Head and Neck Surgery
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Do vocal cord polyps require hospitalization?

Vocal cord polyps are a common condition treated in otolaryngology, mainly caused by excessive voice use, inflammatory irritation, and physical and chemical factors. These factors lead to the formation of granuloma-like neoplasms at the junction of the anterior and middle third of the vocal cords. These growths have a broad base or may be pedunculated, and the mucosa is smooth. When the vocal cords attempt to close during phonation, closure is poor, causing symptoms such as effortful speech and easy vocal fatigue. Diagnosis can be confirmed through indirect laryngoscopy or videolaryngoscopy. If diagnosed with vocal cord polyps, outpatient surgery may be an option if the patient cooperates well with topical anesthesia and if the clinician's technique is highly adept. Otherwise, inpatient surgery under general anesthesia may be necessary, as outpatient treatments do not allow for reimbursement or the execution of necessary anesthesia. Therefore, vocal cord polyps generally require inpatient treatment.