Can Traditional Chinese Medicine cure vocal cord polyps?

Written by Zhang Jun
Otolaryngology
Updated on January 18, 2025
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Vocal cord polyps in traditional Chinese medicine are considered incurable because they are a benign tumor that must be surgically removed for a cure. The causes of vocal cord polyps generally include improper long-term voice use, shouting loudly, and excessive fatigue. For instance, teachers and singers are prone to developing vocal cord polyps. These polyps can cause persistent hoarseness in the patient's voice, which progressively worsens. Vocal cord polyps usually occur unilaterally. During an electronic laryngoscopy examination, an abnormal neoplasm can be observed on the anterior middle third of one vocal cord, typically pale white or pale red, soft, painless, and not prone to bleeding. For treatment, the patient needs to undergo local surgical removal to be cured. The surgery, which can be performed under a supporting laryngoscope, involves the excision of the vocal cord polyp, and recovery typically takes about a week before discharge from the hospital. After surgery, patients need to take good care of their vocal cords to prevent recurrence.

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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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What should I do about vocal cord polyps and nodules?

Vocal cord polyps and nodules are relatively common ENT diseases. After the onset, it is necessary to visit an ENT clinic for a laryngoscopy to assess the severity of the condition. If the condition is mild, conservative treatment with medications can be considered first, commonly including nebulization and oral traditional Chinese medicine, along with voice rehabilitation training. Many patients see gradual improvement after timely treatment. However, if the original condition is severe, the symptoms of hoarseness are pronounced, and conservative treatment does not yield satisfactory results, surgical removal may need to be considered, followed by monitoring for any recurrence.

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How to care for vocal cord polyps symptoms

The more common symptoms of vocal cord polyps include hoarseness and a recurring sensation of a foreign body in the throat, which is generally a common condition. In daily life, it is necessary to speak as little as possible and avoid overusing the voice, as symptoms such as hoarseness from excessive voice use can significantly worsen and potentially promote further growth of the polyps. It is also recommended to follow a bland diet and avoid spicy and irritating foods, as frequent consumption of spicy foods can exacerbate throat inflammation. Regular follow-up examinations, such as laryngoscopic inspections to observe changes in the polyps, are necessary. If the polyps are large, surgical removal may need to be considered. If they are small, medication and nebulizer treatments can be considered initially to observe the effects.

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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.

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What should be noted after vocal cord polyp surgery?

The most important thing to pay attention to after vocal cord polyp surgery is to speak as little as possible, which means vocal rest. Typically, vocal rest should last between two to four weeks. The better you adhere to vocal rest, the better your voice will recover after the surgery. Once recovered, continue to minimize speaking and ensure correct pronunciation to prevent recurrence of vocal cord polyps. Another important consideration is avoiding environments with tobacco smoke; do not smoke and try to stay away from places where others are smoking. Diet should be light, avoiding spicy and stimulating foods. Also, manage your emotions in daily life; do not rush or shout, as this can affect your recovery. Even if you do not yell when anxious, it can still lead to a less than optimal post-operative recovery.