Can vocal cord nodules be treated with medication?

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
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Vocal cord nodules are small, dot-like or nodular protrusions occurring on the free edges of both vocal cords. These protrusions are quite small, and are primarily diagnosed using an electronic laryngoscope in clinical settings. For the treatment of vocal cord nodules, we can use certain medications, such as Huang's Resonant Voice Pills and Qingyin Sanjie Pills, which generally have relatively good effects. However, in clinical practice, we cannot rely solely on medication to treat vocal cord nodules. It is fundamental in the treatment of vocal cord nodules to avoid misuse of the voice. Attention must be paid to the training of correct pronunciation methods. Only through such measures can vocal cord nodules be fully treated, preventing recurrence or further development into vocal cord polyps.

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Written by Li Mao Cai
Otolaryngology
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Vocal cord nodules are caused by what?

Vocal cord nodules are mainly caused by improper speaking, excessive speaking, emotional excitement, and shouting. The most common symptom of vocal cord nodules is a hoarse voice. This condition is often seen in people who speak a lot, such as teachers, salespeople, and singers. These include individuals who tend to shout, are impatient, and speak improperly. Such cases are commonly seen in clinics, especially among children. For example, children who shout and speak carelessly at school during the semester may develop vocal cord nodules with hoarseness as a symptom. Additionally, emotionally excitable and impatient people can develop nodules. Some grandparents, who often yell at their children at home, also tend to develop vocal cord nodules. In summary, those who speak too much, shout, mispronounce sounds, or are emotionally excitable are at risk of developing vocal cord nodules.

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Written by Li Rui
Otolaryngology
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Can vocal cord nodules be treated without surgery?

Vocal cord nodules are a relatively common otolaryngological condition. In treatment, most patients may not require surgery. Generally, it is recommended to first visit an otolaryngologist for a laryngoscopic examination to assess the severity of the vocal cord nodules. If the nodules are small and the symptoms of hoarseness are not particularly severe, treatment usually involves conservative medication, commonly oral medications and nebulization therapy. In addition, voice rehabilitation training can be conducted. Many patients experience gradual improvement in voice hoarseness and reduction of the vocal cord nodules through this treatment. Some patients may even see the nodules disappear, but regular follow-up visits are necessary as there is a possibility of recurrence.

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Written by Zhang Jun
Otolaryngology
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Vocal cord nodules voice repair how many days

Vocal cord nodules must be completely silenced for one week. Vocal cord nodules are caused by long-term improper use of voice, loud fatigue, and excessive shouting, leading to vocal cord lesions. Usually, it involves both vocal cords. This condition causes persistent hoarseness in the patient. An examination with an electronic laryngoscope can reveal a symmetrical, smooth-surfaced neoplasm at the anterior-middle third of both vocal cords, causing persistent hoarseness in the patient. In terms of treatment, the patient needs to undergo vocal cord nodule removal surgery under supported laryngoscopy. The surgery requires inpatient general anesthesia, postoperative use of antibiotics, and complete voice rest for a week to prevent recurrence after surgery. Postoperatively, the patient also needs to follow a light diet, abstain from smoking and drinking, and avoid spicy and irritating foods. If hoarseness is noticed, an electronic laryngoscopy check is mandatory at the hospital. If there is a recurrence, further local surgical treatment is needed.

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Written by Li Rui
Otolaryngology
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Do vocal cord nodules require hospitalization?

Vocal cord nodules are a relatively common otolaryngological condition, generally not requiring hospitalization. Initially, it is recommended to visit an ENT outpatient clinic for a laryngoscopy to assess the severity of the condition. Treatment usually involves outpatient medication, commonly using nebulization therapy, in combination with oral traditional Chinese medicine and vocal rehabilitation training. With these treatments, the condition gradually improves. For a small portion of patients with severe vocal cord nodules and significant hoarseness, if conservative treatment does not relieve symptoms, hospitalization and surgery may be considered.

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Written by Deng Bang Yu
Otolaryngology
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Do vocal cord nodules require surgery?

Vocal cord nodules refer to symmetrical nodular elevations that appear on the free edges of both vocal cords. These nodules are mostly grain-like or granular protrusions. Vocal cord nodules are often caused by incorrect pronunciation, overuse of the voice, or screaming loudly, which are inappropriate vocal habits. Generally, most vocal cord nodules will disappear on their own after resting the voice, speaking less, and using the voice correctly. Therefore, as explained above, vocal cord nodules do not require surgical treatment. Surgery is only necessary if the vocal cord nodules continue to develop uncontrollably, evolving into vocal cord polyps or other pathological changes.