Is the recurrence rate of vocal cord polyps high?

Written by Xu Qing Tian
Otolaryngology
Updated on December 31, 2024
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Vocal cord polyps are a common and frequently occurring condition in otolaryngology. Usually, if patients strictly protect their voice after undergoing vocal cord polyp surgery, the recurrence rate is generally low. However, patients in professions such as teaching, sales, and singing, who often strain their voices, may experience recurrence of vocal cord polyps. The formation of vocal cord polyps is due to the rupture of capillaries and edema in the vocal cord mucosa, leading to neoplasm proliferation. An electronic laryngoscopy can be used to clearly diagnose the disease. Patients with vocal cord polyps should be advised to strictly rest their voice and avoid excessive vocal strain. Surgical removal of the vocal cord polyps is necessary to cure the condition.

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Written by Xu Qing Tian
Otolaryngology
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Can vocal cord polyps become cancerous?

Vocal cord polyps are proliferative protrusions located on the surface of the vocal cords, typically occurring on the anterior middle third of both vocal cords. The main causes of this condition are consuming spicy and irritating foods and harmful habits such as smoking and drinking, excessive use of the voice, and occupational factors. Vocal cord polyps are usually characterized by squamous proliferation on the surface mucosa of the vocal cords, and cancerous changes are rare. If the surface of the vocal cords is uneven and the voice is notably hoarse, a biopsy treatment should be conducted to confirm the diagnosis.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Do you need to avoid certain foods if you have vocal cord polyps?

Vocal cord polyps are a common ENT disease, mainly caused by patients overusing their voice, or by long-term consumption of spicy, irritating foods, staying up late, smoking, alcohol, strong tea, coffee, etc. Therefore, patients with vocal cord polyps should avoid eating spicy and irritating foods, and also avoid staying up late, smoking, drinking alcohol, and consuming strong tea and coffee etc. It is best to eat some cooling foods that relieve summer heat, or take proprietary Chinese medicines that clear the throat and benefit the voice. Try to speak less, avoid staying up late, and avoid catching colds. Generally, if medication is ineffective, surgery may be considered. (The use of medications should be under the guidance of a doctor.)

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Written by Li Mao Cai
Otolaryngology
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Causes of vocal cord polyps

Vocal cord polyps are a common condition in otolaryngology, with the main causes as follows: First, talking a lot. Here, talking a lot refers to normal speaking due to work or lifestyle reasons. Being in a work environment that requires extended periods of talking can lead to the development of vocal cord polyps over time. Second, improper voicing. Some people speak very hurriedly and tend to shout loudly; such habits over a prolonged period can lead to swelling of the vocal cord mucosa, which further develops into vocal cord polyps. Third, smoking. Patients who smoke heavily and for long periods can also develop vocal cord polyps, often compounded by speaking a lot while smoking, making it one of the most common causes of vocal cord polyps. Fourth, working or living in environments with significant pollution, drinking less water, and exposure to lots of dust are also common reasons.

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Written by Li Rui
Otolaryngology
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Is vocal cord polyp removal painful?

Vocal cord polyp removal surgery generally does not cause notable pain. Currently, there are mainly two types of surgery for vocal cord polyps. The first type is under general anesthesia, and the second type is under local anesthesia, including topical anesthesia. If you choose surgery under general anesthesia, the patient will be under anesthesia throughout the procedure and will not feel pain. However, there might be varying degrees of pain after the surgery, although it is generally tolerable. If you choose surgery under topical anesthesia, there might be some pain during the procedure, but it typically isn't severe. Post-surgery pain is usually not too intense, but regular follow-ups are necessary, mainly to monitor for any recurrence of the 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.