Do vocal cord polyps require surgery?

Written by Li Rui
Otolaryngology
Updated on April 20, 2025
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Vocal cord polyps are a relatively common type of ENT (Ear, Nose, and Throat) disease. Some cases require surgical treatment, while others can be managed conservatively. If the vocal cord polyp is small and the clinical symptoms are not particularly obvious, conservative treatment with medication is generally recommended. Common treatments include oral medication and nebulizer therapy; if conditions permit, voice training can also be considered. Additionally, it is necessary to have regular check-ups to monitor changes in the vocal cord polyp. If the polyp is large and does not respond well to conservative medical treatment, surgical treatment might be considered, but regular post-operative check-ups are also necessary. (Specific medications should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be treated without surgery?

Vocal cord polyps are benign neoplasms in the throat, primarily presenting clinically as hoarseness. Typically, vocal cord polyps are relatively large when detected, and various treatment methods often do not result in complete disappearance. Therefore, clinical treatment of vocal cord polyps mainly involves surgical removal. Sometimes, if patients are reluctant to undergo surgery, medication can be attempted. However, the likelihood of completely eliminating vocal cord polyps with medication alone is relatively low. If the condition does not improve or the polyps do not shrink or disappear after medicinal treatment, surgery is often necessary.

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Written by Li Rui
Otolaryngology
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Is vocal cord polyp removal painful?

Vocal cord polyp removal surgery generally does not cause notable pain. Currently, there are mainly two types of surgery for vocal cord polyps. The first type is under general anesthesia, and the second type is under local anesthesia, including topical anesthesia. If you choose surgery under general anesthesia, the patient will be under anesthesia throughout the procedure and will not feel pain. However, there might be varying degrees of pain after the surgery, although it is generally tolerable. If you choose surgery under topical anesthesia, there might be some pain during the procedure, but it typically isn't severe. Post-surgery pain is usually not too intense, but regular follow-ups are necessary, mainly to monitor for any recurrence of the polyps.

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

Vocal cord polyps are benign neoplasms that occur on the free edge of the vocal cords. Therefore, they are primarily treated in the otolaryngology departments of clinics. In larger comprehensive hospitals, where specialties are more detailed, one might see an expert in the pharyngology or laryngology departments. In traditional Chinese medicine hospitals, patients might visit the department of otorhinolaryngology, which is included within the broader five senses (otorhinolaryngology) department. In general, the treatment of vocal cord polyps is predominantly managed by otolaryngologists, with the main treatment method being surgical removal of the polyps. After surgery, it is recommended to speak less to avoid the recurrence of the polyps.

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Written by Deng Bang Yu
Otolaryngology
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How many days before you can speak with vocal cord polyps?

Vocal cord polyps are benign neoplasms located on the vocal cords, primarily presenting clinically as hoarseness. The formation of vocal cord polyps involves various factors, among which the most significant is the misuse of the voice. Clinically, the main treatment for vocal cord polyps is surgical removal. After the surgery for vocal cord polyps, it is important to speak less and speak normally. In fact, after the surgery for vocal cord polyps, one can speak upon waking up, but should not misuse the voice. It is crucial to speak less and avoid using a falsetto voice, as speaking in falsetto can further damage the vocal cords. Therefore, the rule to follow is to speak normally and speak less.

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Written by Deng Bang Yu
Otolaryngology
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What should be noted for vocal cord polyps?

Vocal cord polyps are benign space-occupying lesions on our vocal cords. It is important to note that vocal cord polyps should be surgically removed promptly since once formed, they are unlikely to completely disappear with medication alone. Secondly, after surgery for vocal cord polyps, it is crucial to rest your voice, avoid talking too much, and refrain from shouting loudly, among other activities. Thirdly, diet should be nutritionally rich and light, easily digestible. Avoid using substances that are spicy and irritating, such as cigarettes, alcohol, and chili peppers. Additionally, if there are any pulmonary diseases, like gastroesophageal reflux disease, they should be actively treated.