Do vocal cord polyps require surgery?

Written by Li Rui
Otolaryngology
Updated on October 24, 2024
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Vocal cord polyps generally do not require surgery. If the polyps are relatively small or if the symptoms of hoarseness are not obvious, surgery is usually not necessary, and medication can be considered. The treatment is primarily through oral medications, combined with nebulization therapy. If possible, professional voice training can also be considered. Most patients can gradually recover through conservative treatment. However, if the polyps are large and cause noticeable hoarseness, surgery might be needed. Post-surgery, regular follow-ups are necessary, but such surgeries are usually minimally invasive, performed under a laryngoscope, and do not involve significant external injuries.

Other Voices

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Written by Xu Qing Tian
Otolaryngology
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Is the recurrence rate of vocal cord polyps high?

Vocal cord polyps are a common and frequently occurring condition in otolaryngology. Usually, if patients strictly protect their voice after undergoing vocal cord polyp surgery, the recurrence rate is generally low. However, patients in professions such as teaching, sales, and singing, who often strain their voices, may experience recurrence of vocal cord polyps. The formation of vocal cord polyps is due to the rupture of capillaries and edema in the vocal cord mucosa, leading to neoplasm proliferation. An electronic laryngoscopy can be used to clearly diagnose the disease. Patients with vocal cord polyps should be advised to strictly rest their voice and avoid excessive vocal strain. Surgical removal of the vocal cord polyps is necessary to cure the condition.

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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.

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Written by Li Rui
Otolaryngology
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Can you smoke with vocal cord polyps?

Vocal cord polyps are a relatively common otolaryngological disease. It is advised not to smoke in daily life, as cigarettes contain many chemical substances that have direct irritative effects on the mucous membranes and vocal cords, potentially worsening the condition of vocal cord polyps and possibly leading to further hoarseness. Moreover, long-term smoking may also lead to cancerous changes in the vocal cords and cause laryngeal cancer. Therefore, for such patients, it is recommended to abstain from smoking and drinking, and to regularly visit an otolaryngologist for a laryngoscopic examination to check the status of the vocal cord polyps. Some patients may also require surgical removal of the polyps.

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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.

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Written by Deng Bang Yu
Otolaryngology
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Vocal cord polyps should be seen in the ENT (Ear, Nose, and Throat) department.

Vocal cord polyps are common and frequently occurring conditions within the otolaryngology head and neck surgery specialty. Clinically, vocal cord polyps are primarily seen in the otolaryngology head and neck surgery department. In some larger specialized hospitals with detailed subdivisions, there are specific laryngology departments, allowing for treatment to be sought specifically within these departments. Additionally, some hospitals might have separate divisions such as pharyngolaryngology, laryngology, or pharyngolaryngeal head and neck surgery, which are specialized in this area and can also provide appropriate treatment. For hospitals specializing in certain diseases or specific disorders, such as a voice specialty, treatment can also be sought in these specialized departments.