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 Deng Bang Yu
Otolaryngology
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Can people with vocal cord nodules drink alcohol?

Vocal cord nodules are benign neoplasms located on the vocal cords, usually occurring bilaterally and symmetrically. The main clinical symptom is hoarseness. Individuals with vocal cord nodules should avoid alcohol, as drinking can cause the vocal cord mucosa to become congested and swollen, exacerbating vocal cord nodules or chronic inflammation, and worsening the condition. Additionally, alcohol can directly irritate the vocal cords because it is a spicy and irritating substance. Therefore, it is advised not to drink alcohol when you have vocal cord nodules. It is also important to avoid abusing the voice, which includes refraining from long periods of speaking and not screaming loudly. These precautions need to be adhered to.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Can vocal cord nodules heal by themselves?

Vocal cord nodules, also known as singer's nodules, typically involve symmetrical nodular protrusions at the junction of the anterior and middle thirds of both vocal cords. This condition is commonly seen in individuals who use their voices professionally or excessively, such as actors, teachers, individuals in vocations that require shouting, and children. The primary cause of this condition is attributed to long-term excessive or improper use of the voice. Early stage vocal cord nodules can disappear by allowing the vocal cords to rest sufficiently through voice rest; in children, vocal cord nodules might disappear after puberty. If these nodules do not resolve with conservative treatment and voice rest, medical treatment or surgery may be necessary.

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Written by Li Mao Cai
Otolaryngology
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What should be noted for vocal cord nodules?

Vocal cord nodules primarily require attention to speaking less and proper pronunciation as these measures address the causes of vocal cord nodules, which are due to excessive speaking and improper voicing. Therefore, these two factors need to be carefully considered. Additionally, in daily life, it's important to avoid environments with smoke and alcohol; do not smoke or inhale secondhand smoke. In terms of diet, consume light meals and avoid spicy and irritating foods. Emotionally, do not be hasty and especially avoid yelling, as there is a significant relationship between vocal cord nodules and emotional agitation or impatience.

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Written by Xu Qing Tian
Otolaryngology
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Vocal cord nodules physical therapy

Vocal cord nodules are a common and frequent otolaryngological disorder, often found in professions that require excessive voice use, such as teachers, salespeople, and singers. These nodules typically grow symmetrically on the anterior-middle third of the vocal cords, with intermittent hoarseness as the main symptom. A definitive diagnosis can be made using a laryngoscope. Effective treatment for vocal cord nodules includes voice rest, avoiding spicy and irritating foods, as well as cold drinks, and taking care to protect the voice in daily use. Oral medications that invigorate blood circulation and remove blood stasis can be used to improve symptoms. For patients whose nodules do not resolve, surgery is usually required to remove the vocal cord nodules and restore the voice to normal. (Please use medications under the guidance of a physician.)

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Written by Zhang Jun
Otolaryngology
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What nebulization is used for vocal cord nodules?

Nebulized inhalation is very effective in treating vocal cord nodules. It requires the use of corticosteroids, as corticosteroids can reduce congestion and edema on the surface mucosa of the vocal cords, which is helpful for the recovery of vocal cord nodules. Vocal cord nodules are caused by improper or excessive use of the voice over a long period, loud and strenuous talking, and irritation from gastric acid reflux, leading to congestion, edema, and hyperplasia of the vocal cord surface mucosa. Patients may experience persistent hoarseness that progressively worsens. Vocal cord nodules are generally bilateral. Examination with a laryngoscope can reveal pale, granular neoplasms at the anterior-middle third of both vocal cords. Conservative treatment, such as nebulized inhalation, can be very effective initially. Voice rest, or refraining from speaking, is also necessary. If conservative treatment is ineffective, local surgical excision may be required for a cure.