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 Li Rui
Otolaryngology
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Why does vocal cord polyp surgery require general anesthesia?

Vocal cord polyps are a relatively common type of ENT (Ear, Nose, and Throat) disorder. For larger polyps where conservative treatment with medication is ineffective, surgical treatment should be considered. Currently, the main surgical procedure is the excision of vocal cord polyps under a supported laryngoscope, which requires general anesthesia. This is because the procedure is difficult for patients to endure without general anesthesia, as the supported laryngoscope is a type of metal tube that needs to be inserted through the mouth into the pharynx. Local anesthesia would be insufficient as patients might struggle to cooperate and tolerate the pain or nausea, hence general anesthesia is necessary for the surgery.

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Written by Zhang Jun
Otolaryngology
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Can vocal cord polyps eat bayberry?

People with vocal cord polyps should avoid eating bayberries, as bayberries are acidic and can aggravate acid reflux after consumption. The acid fluid and vapors can also irritate the throat, leading to the enlargement or recurrence of vocal cord polyps. Vocal cord polyps are generally caused by prolonged improper use of the voice, such as yelling loudly, excessive fatigue, and irritation from acid reflux. These polyps can cause the voice to become hoarse and progressively worsen. During examination, a pale, lychee-like mass can be found on the anterior-middle third of one vocal cord, leading to incomplete closure of the vocal cords. Regarding treatment, medication is ineffective for vocal cord polyps. Patients need to undergo a vocal cord polyp removal surgery under supported laryngoscopy. The surgery requires hospitalization and general anesthesia, and postoperative antibiotics are used to prevent local infection. Recovery is usually complete within about a week, allowing for discharge from the hospital.

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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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Postoperative care for vocal cord polyps surgery

Vocal cord polyps are a relatively common otolaryngological condition. In terms of treatment, conservative treatment is considered if the polyp is small. However, if the polyp is large and conservative treatment is ineffective, surgical treatment may be necessary. Currently, the main procedure is microlaryngoscopic vocal cord polyp removal surgery, which is a common minimally invasive surgical method. Post-surgery, it is generally recommended to have regular follow-ups, ideally weekly, to monitor recovery. Additionally, nebulizer treatment is advised as an auxiliary therapy to aid post-surgical recovery. After surgery, it is also important to minimize speaking and avoid overusing the voice.

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Written by Deng Bang Yu
Otolaryngology
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What should I do about vocal cord polyps?

Vocal cord polyps are benign tumors located on the vocal cords, primarily caused by improper use of the voice or by inflammatory infections. When vocal cord polyps are suspected, it is essential to visit a hospital for an examination, primarily using a laryngoscope to assess the size of the polyps and check for any other vocal cord lesions. Once diagnosed, surgical intervention is often evaluated. Suitable cases are admitted to the hospital for surgery under a surgical microscope to remove the polyps. Generally, patients can be discharged three to five days after the surgery. The surgery involves microscopic techniques, so the trauma is minimal.