The best treatment method for vocal cord nodules

Written by Li Mao Cai
Otolaryngology
Updated on September 29, 2024
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Vocal cord nodules are often caused by excessive talking, loud speaking, or overuse of the voice. They are commonly found in individuals who frequently use their voices in their professions, such as salespeople, teachers, and singers. The best treatment approach is to address the root cause, which involves speaking less and using proper vocal techniques. This is the optimal treatment plan. However, this method may not always be effective, as some people, due to their occupational needs, cannot fully achieve vocal rest. If vocal rest does not effectively treat the condition, surgical intervention may then be necessary. During the treatment period, after diagnosing vocal cord nodules, vocal rest is the preferred approach. If vocal rest is ineffective or does not fully resolve the nodules, surgery may be required as a follow-up treatment.

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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 Deng Bang Yu
Otolaryngology
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Are vocal cord nodules prone to recurrence?

Vocal cord nodules are symmetrical nodular protuberances on the free edges of both vocal cords. Clinically, vocal cord nodules are mainly related to improper use of the voice and are prone to recurrence. Recurrence factors primarily involve inappropriate voice use, voice abuse, and other irritants such as tobacco, alcohol, chili peppers, and other spicy foods, as well as frequent recurring upper respiratory infections. Therefore, clinically, in addition to medication, such as drugs that clear the throat and benefit the voice, attention should also be paid to diet structure and normal voice use to avoid excessive voice abuse.

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Written by Li Rui
Otolaryngology
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Is the surgery for vocal cord nodules uncomfortable?

Surgery for vocal cord nodules is not particularly uncomfortable, and as of now, it is not the first-choice treatment option. In fact, most patients can consider conservative treatment. This generally involves oral medications and nebulization therapy, and voice rehabilitation training can also be considered. Most patients can effectively control and alleviate their condition after standardized conservative treatment. If the effects of standardized conservative treatment are not satisfactory, surgery may be considered. The current surgical options include microlaryngoscopic surgery or vocal cord nodule excision under fiberoptic laryngoscopy, both of which are minimally invasive and cause minor damage. General anesthesia can also be considered; during the surgery, patients do not feel particularly uncomfortable. After the surgery, it mainly requires voice rest and continuing with nebulization therapy.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Early symptoms of vocal cord nodules

Vocal cord nodules, also known as singer's nodules, typically present as symmetrical nodular protrusions at the junction of the anterior and middle one-thirds of the vocal cords, with a relatively broad base. The main symptom is hoarseness of voice. Initially, the hoarseness is mild, characterized by a rough voice or nearly normal voice, such as when the voice is overused and feels fatigued, leading to intermittent bouts of hoarseness. Over time, the symptom of hoarseness worsens, progressing from intermittent to persistent hoarseness, affecting singers who cannot sing and teachers who are unable to teach. Examination with a laryngoscope may reveal small nodular protrusions on the anterior-middle one-third of the vocal cords, with incomplete closure of the glottis.

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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.