Why does vocal cord polyp surgery require general anesthesia?

Written by Li Rui
Otolaryngology
Updated on February 15, 2025
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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 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 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.

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Written by Deng Bang Yu
Otolaryngology
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How long after vocal cord polyp surgery can one eat normally?

Vocal cord polyps are mucous-like formations on the vocal cords. Clinically, vocal cord polyps are primarily removed through surgery. These polyps are benign lesions located in the vocal fold area, not in the digestive tract or the pharynx, therefore, they do not affect eating or swallowing. After surgery for vocal cord polyps, a patient can normally eat four to six hours after waking from general anesthesia. However, care must be taken not to cough violently while eating, and spicy or irritating foods should be consumed less or avoided altogether. This does not mean that one cannot eat normally after surgery for vocal cord polyps.

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Written by Li Rui
Otolaryngology
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How long does it take for vocal cord polyps to be atomized?

Vocal cord polyps are a relatively common otolaryngological condition. For treatment, nebulization can be considered. The specific duration of nebulization varies from individual to individual, depending mainly on the severity of the condition, clinical symptoms, and the patient's own situation, and should be considered comprehensively. It is generally recommended to nebulize twice a day for over a week. During the treatment process, regular follow-ups are necessary to observe the treatment effects. However, some patients may not respond well to nebulization alone and might require combined oral medication treatment. If the vocal cord polyps are particularly large and conservative treatment is ineffective, surgery might be needed. After surgery, regular follow-ups are also necessary to observe the surgical outcomes. (Please administer medication under the guidance of a professional physician.)

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Written by Li Rui
Otolaryngology
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What are the symptoms of vocal cord polyps?

Vocal cord polyps are a relatively common ENT disorder. Small vocal cord polyps may not show obvious clinical symptoms and are often discovered only during a physical examination or laryngoscopy. However, larger vocal cord polyps can cause noticeable clinical symptoms, most commonly hoarseness. The hoarseness can be recurrent or persistent and may worsen with excessive use of the voice. Some patients may also experience a foreign body sensation in the throat or throat pain, which is primarily considered to be caused by vocal cord polyps accompanied by chronic pharyngitis. A laryngoscopy can provide a definitive diagnosis.