Do vocal cord polyps require hospitalization?

Written by Yao Jun
Otolaryngology - Head and Neck Surgery
Updated on November 15, 2024
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Vocal cord polyps are a common condition treated in otolaryngology, mainly caused by excessive voice use, inflammatory irritation, and physical and chemical factors. These factors lead to the formation of granuloma-like neoplasms at the junction of the anterior and middle third of the vocal cords. These growths have a broad base or may be pedunculated, and the mucosa is smooth. When the vocal cords attempt to close during phonation, closure is poor, causing symptoms such as effortful speech and easy vocal fatigue. Diagnosis can be confirmed through indirect laryngoscopy or videolaryngoscopy. If diagnosed with vocal cord polyps, outpatient surgery may be an option if the patient cooperates well with topical anesthesia and if the clinician's technique is highly adept. Otherwise, inpatient surgery under general anesthesia may be necessary, as outpatient treatments do not allow for reimbursement or the execution of necessary anesthesia. Therefore, vocal cord polyps generally require inpatient treatment.

Other Voices

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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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The difference between vocal cord nodules and polyps

Vocal cord nodules are often bilateral symmetrical tiny nodules, while vocal cord polyps can be unilateral or bilateral. Vocal cord nodules commonly affect teachers, singers, orators, and other professions that involve excessive use of the voice. Vocal cord polyps, however, can be seen in all kinds of people. For vocal cord nodules, treatment usually begins with medication. If medication is ineffective, surgical treatment may be considered. For patients with vocal cord polyps, the most common treatment method is surgical removal of the polyps. Post-surgery, it is crucial to protect the voice and maintain silence to aid recovery. Generally, both vocal cord nodules and polyps can be cured.

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Written by Li Mao Cai
Otolaryngology
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Do vocal cord polyps hurt?

Vocal cord polyps are a very common condition in otolaryngology. They generally do not cause pain because they are a disease caused by talking excessively or improper pronunciation over the long term, rather than an acute inflammation. Therefore, pain from vocal cord polyps is rare. The main symptom is hoarseness. Vocal cord polyps are caused by excessive talking, which over time leads to thickening of the mucous membrane on the surface of the vocal cords and even hyperplasia, forming minor lesions. This can cause incomplete closure of the glottis, resulting in hoarseness, difficulty reaching high notes, and other related symptoms. It is very rare for vocal cord polyps to cause pain, and this is not a main symptom.

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Written by Zhang Jun
Otolaryngology
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What should you avoid eating if you have vocal cord polyps?

Patients with vocal cord polyps need a light diet and should avoid spicy and irritating foods. It is necessary for patients to adjust their digestive system function to avoid acid reflux. The cause of vocal cord polyps is generally due to long-term intake of spicy foods, digestive system disorders, gastric acid reflux, and long periods of loud talking, excessive fatigue, and overuse of the voice, which leads to congestion, edema, hyperplasia, and prolapse of the mucous membrane on the surface of the vocal cords. This condition can cause the patient to experience persistent hoarseness, which progressively worsens. During an examination with an electronic laryngoscope, a smooth, pale white or pale red abnormal neoplasm can be found at the anterior middle third of one vocal cord. It can lead to incomplete closure of the vocal cords, resulting in a hoarse voice. In terms of treatment, vocal cord polyps can be cured with a microlaryngoscopy under the support of a laryngoscope, where the polyp is surgically removed.

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Written by Xu Qing Tian
Otolaryngology
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Symptoms of recurrent vocal cord polyps

Vocal cord polyps are a common and frequently occurring illness, primarily characterized by symptoms such as hoarseness and throat discomfort. After surgical removal of vocal cord polyps through suspension laryngoscopy, the patient's voice may still be hoarse in the short term. This hoarseness is mainly due to postoperative mucosal edema, and the general recovery period requires three to four weeks. Patients need to rest their voice and reduce vocal usage. Dietary precautions include avoiding spicy and irritating foods and reducing the incidence of colds and coughs. If a patient experiences a recurrence of vocal cord polyps, the main symptom is hoarseness. This can be confirmed through an examination with an electronic laryngoscope to determine whether the vocal cord polyps have recurred. There is still a certain probability of recurrence, which mainly depends on how the patient protects their voice in daily life.