Treatment methods for vocal cord nodules

Written by Li Mao Cai
Otolaryngology
Updated on September 12, 2024
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The treatment is primarily divided into conservative treatment and surgical treatment. Generally, conservative treatment is implemented first. The main strategy of conservative treatment is vocal rest, which entails speaking as little as possible, typically for a duration of two to four weeks. Concurrently, medication is administered, often through nebulized inhalation therapy. The second approach is surgical treatment, which is considered if the conservative treatment does not yield satisfactory results, or if the condition worsens. At this point, surgical treatment of vocal cord nodules is typically performed using support laryngoscopy, microscopy, and either laser or fiber instruments to remove the vocal cord nodules. Post-surgery, a period of vocal rest is necessary for recovery, also lasting two to four weeks. During the recovery period, it is important to speak less, use proper phonation, avoid smoking and alcohol, follow a light diet, and steer clear of spicy and irritating foods.

Other Voices

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Written by Li Rui
Otolaryngology
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Can you eat fish with vocal cord nodules?

Patients with vocal cord nodules can eat fish, as fish is a common food and it does not have direct side effects or exacerbate existing symptoms related to vocal cord nodules, nor does it conflict with medications used to treat vocal cord nodules. It is recommended that patients with vocal cord nodules adopt a lighter diet, avoid spicy and irritating foods, and it is advised not to smoke or drink alcohol. Regular check-ups at an otolaryngology department are also recommended. If symptoms like hoarseness occur, it is necessary to combine treatment with traditional Chinese medicine taken orally and nebulization therapy. During the treatment process, regular check-ups are required to observe the treatment effects, and a small number of patients may need surgical treatment. (Please follow the guidance of a professional physician regarding medication usage.)

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Written by Li Rui
Otolaryngology
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Can vocal cord nodules be cured by resting the voice?

Vocal cord nodules are a relatively common otolaryngologic disease. After resting the voice, the condition of the vocal cord nodules may improve, and the symptom of hoarseness may also get better. However, resting the voice alone cannot completely cure the condition. Patients with vocal cord nodules need to visit an otolaryngology clinic after the onset of the disease. It is advisable to undergo a laryngoscopy to assess the severity of the condition. Generally, it may be considered to take prescribed Chinese patent medicine and undergo atomization treatment. During the treatment process, regular follow-up visits are necessary to check the effectiveness of the treatment. A small number of patients might also need to consider surgical treatment.

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Written by Li Rui
Otolaryngology
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What should I pay attention to for vocal cord nodules usually?

Vocal cord nodules are a relatively common ENT (Ear, Nose, and Throat) disorder, and there are several aspects to be mindful of in daily life. The first aspect is to avoid excessive use of the voice. Frequent overuse can exacerbate symptoms of hoarseness and potentially worsen the condition of the vocal cord nodules. The second aspect concerns diet; it is advisable to eat lightly and avoid spicy and irritant foods. The third aspect pertains to lifestyle habits; do not smoke or drink alcohol. Both tobacco and alcohol are strong irritants to the mucous membranes and vocal cords, and they can potentially lead to a worsening of the vocal cord nodules.

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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.

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Written by Zhang Jun
Otolaryngology
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Will the voice change due to vocal cord nodules get better?

After surgery for vocal cord nodules, the voice will definitely improve and will not cause persistent hoarseness. Vocal cord nodules are vocal cord lesions caused by improper use of the voice over a long time, such as loud shouting or fatigue, and are commonly seen in teachers and singers. They can cause persistent hoarseness in patients and progressively worsen. Generally, vocal cord nodules occur bilaterally. Examination with an electronic laryngoscope reveals a symmetrical, pale white, smooth-surfaced neoplasm in the anterior-middle third of both vocal cords, with good vocal cord mobility and incomplete closure of the glottis. In terms of treatment, patients need to undergo vocal cord nodule removal surgery under supported laryngoscopy. The surgery requires hospitalization under general anesthesia, and patients can usually recover and be discharged a week after surgery.