Can small vocal cord polyps be managed without surgery?

Written by Li Rui
Otolaryngology
Updated on April 11, 2025
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Vocal cord polyps are a fairly common otolaryngological condition. In terms of treatment, if the absorption is minimal, conservative pharmacological treatment is generally considered first rather than surgical intervention. Common treatments include oral medications, often supplemented with nebulization. Typically, with standardized pharmacological treatment, symptoms of hoarseness can gradually improve within one to two weeks. However, regular laryngoscopy follow-ups are necessary to monitor changes in the condition. Additionally, voice training can be considered to improve everyday vocal techniques, which can also help alleviate symptoms of hoarseness. Overall, most patients with minor vocal cord polyps can be successfully treated conservatively. (Specific medication use should be conducted under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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The causes of recurrent vocal cord polyps

The recurrence of vocal cord polyps is primarily due to patients not taking care to protect their voice usage, improper voice use, and failing to quit bad habits such as smoking and drinking. The main cause of vocal cord polyps is edema in the Reinke's layer of the vocal cord mucosa, which leads to the proliferation of the surface mucosa. The main symptom in patients is a hoarse voice. After undergoing support laryngoscopy and surgical removal of the vocal cord polyps, patients are required to refrain from speaking for three to four weeks to allow the vocal cord mucosa to recover and heal. If patients do not take care of their voice during this period, there is a possibility of recurrence of the vocal cord polyps.

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Written by Deng Bang Yu
Otolaryngology
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How long does it take to wake up from general anesthesia for vocal cord polyps?

Vocal cord polyps are common and frequently occurring clinical benign tumors located on the vocal cords. Clinically, the main treatment is the removal of the vocal cord polyps under a microscope-assisted laryngoscope, performed under general anesthesia. Currently, our control technique for general anesthesia is very refined, and the surgery for vocal cord polyps generally takes about 15 minutes. After these 15 minutes, our patients gradually regain consciousness. Therefore, patients undergoing general anesthesia for vocal cord polyp surgery can progressively wake up after the surgery is complete. This is achievable due to our current precise control techniques in anesthesia and medication management, allowing patients to awaken promptly after the surgery.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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What are the symptoms of vocal cord polyps?

Vocal cord polyps refer to inflammatory neoplasms located at the junction of the anterior and middle third of the vocal cords, caused by excessive or improper voice use. They may be pink, smooth, or grayish-white. Their bases are relatively wide, and some even have a pedicle because a neoplasm arises in the front middle third of the vocal cords. Therefore, patients with this condition often have difficulty closing the glottis while speaking, and hoarseness is a main symptom of vocal cord polyps. As the condition worsens, the glottis closes poorly. Speaking requires a great deal of effort to produce sound, thus making speaking laborious is another primary symptom of vocal cord polyps.

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Written by Li Rui
Otolaryngology
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Can vocal cord polyps be treated conservatively?

Vocal cord polyps are a relatively common ENT disorder. For treatment, conservative treatment can be considered for some patients. If the vocal cord polyps are small and the symptoms of hoarseness are not particularly noticeable, conservative treatment with medication can be initially considered. Common treatments include oral traditional Chinese medicine, combined with nebulization therapy. It's also suggested to undergo voice training concurrently. Generally, with formal treatment lasting about two weeks, symptoms of hoarseness can gradually improve, and polyps may recede in some patients. However, if the vocal cord polyps are particularly large and the symptoms of hoarseness are very noticeable, and conservative treatment proves ineffective, then surgical treatment should be considered.

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Written by Xu Qing Tian
Otolaryngology
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How long should one rest their voice for vocal cord polyps?

Vocal cord polyps are a common and frequent disease in otolaryngology. The main symptoms of vocal cord polyps in patients are usually hoarseness and vocal fatigue. Diagnosis can be confirmed through examination methods such as electronic laryngoscopy or indirect laryngoscopy. The primary treatment for vocal cord polyps is surgical removal of the polyp tissue to restore normal vocal function. After the surgery for vocal cord polyps, it is generally recommended that patients refrain from speaking for three to four weeks to promote the repair of the vocal cord mucosa and avoid congestion and swelling of the local mucosa due to excessive voicing or overuse, which can affect the recovery time or degree of recovery and are likely to lead to recurrence in patients.