Are white vocal cord polyps cancerous?

Written by Xu Qing Tian
Otolaryngology
Updated on January 28, 2025
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Vocal cord polyps are mainly caused by overuse of the voice by patients, or by edema of the mucous membrane due to smoking, alcohol, and physical or chemical irritations, which gradually form vocal cord polyps. During an examination with an electronic laryngoscope, if whitening of the vocal cord mucosa or symptoms such as folds or erosion are found, it may indicate an early stage lesion of a tumor, or that a tumor has developed, which is often seen in cases of leukoplakia or squamous carcinoma of the vocal cords. If such conditions are discovered, it is important for the patient to take them seriously and promptly visit a hospital for a pathological biopsy to determine if there has been a pathological change in the vocal cords. If a pathological change is confirmed, it is necessary to promptly remove the pathological tissue through carbon dioxide laser surgery or support laryngoscopy surgery to achieve timely treatment.

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Written by Li Mao Cai
Otolaryngology
1min 11sec home-news-image

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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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.

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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.

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Written by Xu Qing Tian
Otolaryngology
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What should I do if my vocal cord polyps are inflamed?

Patients with vocal cord polyps often experience inflammation, typically caused by the polyps which make it difficult to speak, subsequently leading to edema in the laryngeal mucosa and causing acute laryngitis. In such cases, it is essential to first rest the voice and avoid excessive vocalization. At the same time, oral administration of throat-clearing medicine and antibiotics is necessary to reduce inflammation. Patients diagnosed with vocal cord polyps should undergo support laryngoscopy surgery to remove the polyp tissue once contraindications have been ruled out, thus restoring normal vocal function. Post-surgery, it is crucial to strictly rest the voice for three to four weeks, while also avoiding spicy, irritating foods, and cold beverages to prevent exacerbating local inflammation.

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Written by Deng Bang Yu
Otolaryngology
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Do vocal cord polyps require a biopsy?

Vocal cord polyps are benign neoplasms located on the vocal cords, typically protruding from the surface or the free edge of the vocal cords. Therefore, the removal surgery for vocal cord polyps is generally performed under laryngoscopic and microscopic visualization. The procedure usually involves direct excision followed by pathological examination, and a biopsy is generally not conducted before the surgery. Thus, vocal cord polyps are typically treated through direct surgical removal without a pre-surgery biopsy. It is also important to avoid excessive misuse of the voice after the surgery to prevent recurrence of the vocal cord polyps.