Which is more serious, vocal cord nodules or vocal cord polyps?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
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Vocal cord nodules and vocal cord polyps are both benign occupies of the vocal cord area. Vocal cord nodules appear as point-like and nodular protrusions, while vocal cord polyps appear as polyp-like protrusions, and thus, the volume of vocal cord polyps is relatively larger. Generally speaking, the hoarseness associated with vocal cord nodules is milder, while the hoarseness from vocal cord polyps is more severe. In terms of treatment, vocal cord nodules generally do not require surgical intervention and are mainly managed with voice rest and symptomatic treatment. On the other hand, vocal cord polyps almost always require surgical treatment for resolution. Therefore, overall, vocal cord polyps are more severe, while vocal cord nodules are relatively milder.

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Written by Li Mao Cai
Otolaryngology
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Do vocal cord polyps definitely require surgery?

The treatment of vocal cord polyps is primarily surgical since this condition is mainly caused by excessive talking, improper voice use, or overuse of the voice at one time. Such actions can lead to pathological changes in the vocal cord mucosa, resulting in edema and vascular dilation in the Reinke's space, and even hemorrhagic polyps. In these cases, simple voice rest or medical treatment is often ineffective. The best approach is to surgically remove the polyps completely, and then combine this with voice rehabilitation and correct pronunciation to achieve the best possible healing of the surgical site. Therefore, the most appropriate treatment plan for vocal cord polyps is to undergo surgery promptly. The specific surgical method depends on the size and location of the polyp, and whether it can be well exposed during surgery.

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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 Zhang Jun
Otolaryngology
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Can people with vocal cord polyps eat fish?

Vocal cord polyps can be consumed without any issues. Vocal cord polyps are abnormalities on the vocal cords that are usually caused by improper voice use, shouting loudly, or excessive fatigue over a long period. Typically, the condition affects one side of the vocal cords and leads to persistent hoarseness in the patient. If a patient experiences continuous hoarseness without signs of improvement, an electronic laryngoscopy is first required. Generally, a smooth, pale white abnormal growth can be found on the anterior middle third of one vocal cord, leading to incomplete closure of the glottis and resulting in hoarseness. In terms of treatment, the removal of vocal cord polyps requires a type of supporting laryngoscopy surgery, which necessitates hospitalization and general anesthesia. Post-surgery, antibiotics are used to prevent local infection. Furthermore, complete vocal rest is necessary for one week post-surgery before gradual recovery can occur. (Please follow the guidance of a professional physician when using medication and do not self-medicate.)

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Written by Li Rui
Otolaryngology
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How many days to recover the voice after vocal cord polyp removal?

Vocal cord polyp surgery is a relatively common otolaryngological procedure. After the surgery, recovery time can vary between individuals. Typically, within the first three days post-surgery, the vocal cords can exhibit significant congestion and swelling, potentially causing hoarseness that is even worse than before the surgery. However, nebulizer treatments can be considered during this phase to help improve the hoarseness. Generally, symptoms of hoarseness will gradually improve after three days, with noticeable improvement around one week. Most patients fully recover their voice in about two weeks, though individual variations exist. Therefore, it is advised to have regular follow-up examinations to observe the outcome after the surgery.

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Written by Xu Qing Tian
Otolaryngology
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Postoperative Precautions for Vocal Cord Polyps

Vocal cord polyps are a common and frequent condition in otolaryngology, and the following precautions should be noted after surgery for vocal cord polyps: First, do not consume spicy, irritating food and cold drinks to avoid postoperative bleeding or poor recovery of the voice. Second, it is important to maintain silence, preferably for 2-4 weeks, to help the rapid recovery of the vocal cord mucous membrane. Third, in daily life, it is necessary to reduce vocal strain, avoid shouting, to prevent acute congestion and inflammation of the vocal cord mucous membrane, and prevent postoperative recurrence.