How to conservatively treat vocal cord polyps?

Written by Li Rui
Otolaryngology
Updated on May 30, 2025
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Vocal cord polyps are a relatively common ENT disorder. In terms of treatment, there are generally two types: conservative treatment and surgical treatment. If the vocal cord polyps are small and the clinical symptoms are not particularly severe, conservative treatment is considered first. Common treatments include oral medication, which can be complemented with nebulization therapy. Most patients can gradually alleviate symptoms with medication. Additionally, voice training can be conducted to learn the correct and reasonable use of the voice. In daily life, it is necessary to avoid overuse of the voice as much as possible and to regularly re-examine the laryngoscopic observations to monitor any changes in the vocal cord polyps.

Other Voices

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Written by Xu Qing Tian
Otolaryngology
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Can vocal cord polyps cause difficulty breathing?

Vocal cord polyps rarely cause breathing difficulties, but for some patients with large vocal cord polyps, there is a possibility of gradually developing breathing difficulties. Vocal cord polyps are often due to patients overusing their voice, or from physical and chemical factors such as irritations from smoking and alcohol, which then lead to edema of the vocal cord mucosa. Prolonged irritation can gradually form vocal cord polyps, and the main symptoms include a hoarse voice, throat pain, and difficulty breathing. Once vocal cord polyps are discovered, they generally need to be treated surgically. Smaller vocal cord polyps can also be treated with medication. If medication is ineffective, surgical treatment can also be considered.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps be cured by taking Chinese medicine?

Vocal cord polyps are benign neoplasms on the free edge of our vocal cords. Once vocal cord polyps form, they are difficult to eliminate through medication and are generally removed surgically, as they are usually relatively large. In terms of using Chinese medicine, clinically, we mainly use Chinese patent medicines that clear the throat and benefit the voice. However, these can only serve as an adjunctive treatment and cannot eliminate vocal cord polyps. Therefore, in clinical treatment, surgery is primarily used. Chinese medicine cannot eliminate vocal cord polyps, and this is something we must understand.

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Written by Zhang Jun
Otolaryngology
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Can vocal cord polyps become cancerous a second time?

Secondary surgery for vocal cord polyps is associated with the possibility of malignant changes. Vocal cord polyps are caused by improper long-term vocal usage, fatigue from overuse, shouting loudly, smoking, drinking, and irritation from acid reflux, leading to vocal cord lesions. It causes the patient to have persistent hoarseness of voice, which progressively worsens. Examination with an electronic laryngoscope may reveal a pale white or pale red abnormal neoplasm at the anterior middle third of the unilateral vocal cord. This can lead to incomplete closure of the glottis, resulting in hoarseness of voice. In terms of treatment, medicating vocal cord polyps is ineffective, and the patient must undergo a polypectomy under suspension laryngoscopy. The surgery requires hospitalization and general anesthesia, and the patient can usually recover and be discharged within about a week. After discharge, the patient needs to speak softly and infrequently, follow a bland diet, and abstain from smoking and drinking to prevent recurrence. If recurrences occur, the vocal cord polyps may have the potential to turn cancerous.

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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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Do vocal cord polyps absolutely require surgery?

Vocal cord polyps do not necessarily require surgery as there are various treatment options available. Clinically common treatments include medication, voice training, and surgical removal. If the polyp is small and the symptoms are mild, conservative treatment is generally recommended. This mainly involves voice training, oral medications, and nebulized drug therapy, along with regular check-ups using a laryngoscope to monitor changes. Most patients can effectively alleviate and recover through conservative treatment. However, if the polyp is large and causes significant hoarseness, surgical removal under a laryngoscope might be considered, followed by regular check-ups to prevent recurrence.