Can vocal cord polyps cause difficulty breathing?

Written by Xu Qing Tian
Otolaryngology
Updated on May 01, 2025
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Vocal cord polyps rarely cause breathing difficulties, but for some patients with large vocal cord polyps, there is a possibility of gradually developing breathing difficulties.

Vocal cord polyps are often due to patients overusing their voice, or from physical and chemical factors such as irritations from smoking and alcohol, which then lead to edema of the vocal cord mucosa. Prolonged irritation can gradually form vocal cord polyps, and the main symptoms include a hoarse voice, throat pain, and difficulty breathing.

Once vocal cord polyps are discovered, they generally need to be treated surgically. Smaller vocal cord polyps can also be treated with medication. If medication is ineffective, surgical treatment can also be considered.

Other Voices

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Written by Zhang Jun
Otolaryngology
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Do vocal cord polyps have to be surgically removed?

Vocal cord polyps must be treated surgically. Vocal cord polyps are caused by improper vocal use for an extended period, overexertion, and yelling, leading to vocal cord lesions. Typically, the disease affects only one vocal cord, causing the patient's voice to be hoarse, with symptoms worsening continuously. During an examination with an electronic laryngoscope, a pale white or pale red smooth granule can be observed on the anterior middle third of the unilateral vocal cord, resulting in incomplete closure of the glottis and consequently a hoarse voice. In terms of treatment, conservative management for vocal cord polyps is ineffective. Patients must undergo a vocal cord polyp removal surgery under suspension laryngoscopy. The surgery requires hospitalization and general anesthesia, followed by the use of antibiotics postoperatively to avoid local infection. Recovery usually allows discharge from the hospital after about a week. However, after recovery, patients still need to speak softly and sparingly, avoid catching colds, and prevent recurrence. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What should I do about vocal cord polyps and nodules?

Vocal cord polyps and nodules are relatively common ENT diseases. After the onset, it is necessary to visit an ENT clinic for a laryngoscopy to assess the severity of the condition. If the condition is mild, conservative treatment with medications can be considered first, commonly including nebulization and oral traditional Chinese medicine, along with voice rehabilitation training. Many patients see gradual improvement after timely treatment. However, if the original condition is severe, the symptoms of hoarseness are pronounced, and conservative treatment does not yield satisfactory results, surgical removal may need to be considered, followed by monitoring for any recurrence.

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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 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 Deng Bang Yu
Otolaryngology
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How long is the hospital stay for vocal cord polyp surgery?

Vocal cord polyps are benign occupying lesions on our vocal cords. Generally, the removal of vocal cord polyps is performed under a microscope-supported laryngoscope. The hospital stay for vocal cord polyp surgery is usually short, and the surgery can even be performed in a day clinic. Typically, the stay lasts about 1-3 days, although in different medical units, it can be extended to 3-5 days or even 5-7 days. In any case, it's typically within a week. Moreover, as the procedure for vocal cord polyps is relatively less harmful, the hospital stay is generally short. Post-surgery, it is important to speak less and avoid straining the vocal cords to prevent the recurrence of the polyps.