How to treat vocal cord nodules

Written by Yao Jun
Otolaryngology - Head and Neck Surgery
Updated on September 21, 2024
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Vocal cord nodules, also known as singer's nodules, are typically located at the junction of the anterior and middle thirds of both vocal cords, featuring symmetrical nodular protrusions. They are more commonly found in individuals who use their voices professionally, such as singers, teachers, or other vocations that involve frequent shouting, as well as in children. Prolonged or improper use of the voice is a major cause of this condition. Therefore, during treatment, voice rest is primarily advised. Early stage vocal cord nodules can spontaneously resolve with sufficient vocal rest, and nodules in children often disappear naturally during puberty. Additionally, medication can be used for treatment, such as traditional Chinese medicines, including Jin Sang San Jie Wan and Kai Yin Pills. If conservative treatment fails, surgical removal of the vocal cord nodules under fiberoptic laryngoscopy can be performed, followed by a two-week voice rest period. Post-surgery, it is recommended to inhale medicated vapors, avoid spicy and irritating foods, drink plenty of water, avoid staying up late, and refrain from excessive voice use or shouting.

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Written by Li Mao Cai
Otolaryngology
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How to treat vocal cord nodules?

The main symptom of vocal cord nodules is a hoarse voice, and some people often experience coughing. The cause of vocal cord nodules is related to excessive talking or improper use of the voice, such as in occupations like teachers, salespeople, and singers. Besides voice therapy, another treatment option is nebulizer inhalation, which is used to alleviate symptoms. Commonly used medications include corticosteroids, such as budesonide for nebulizer inhalation treatment, twice a day, one dose each time, but voice therapy is a prerequisite. Without voice therapy and correct voice usage, treatment with medication alone through nebulizer inhalation will not be effective, and the symptoms will not improve significantly. Some patients with vocal cord nodules do not need medication and can fully recover their normal voice and have the nodules disappear just by proper voice therapy and resting the voice for a period. Therefore, voice therapy is the best treatment for this condition.

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Written by Li Mao Cai
Otolaryngology
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Will there be a change in voice after vocal cord nodule surgery?

Vocal cord nodules commonly develop symmetrically at the anterior-middle third of both vocal cords. After the surgery for this condition, the hoarseness in the voice might initially worsen compared to before the surgery, particularly during the recovery period. After the surgery, it's crucial to rest the voice, meaning speaking less. Voice rest also includes proper phonation, which entails speaking correctly or not at all. It is advised to limit speaking to no more than five sentences per day. Moreover, during recovery, the voice may initially sound more hoarse than before the surgery but it should return to a state similar to that before the surgery once fully recovered. If after the surgery and subsequent recovery, the voice does not vary significantly from its pre-surgery state, this is generally the expected outcome. However, it isn't guaranteed 100%, as variations can occur depending on whether adequate voice rest was taken and whether proper phonation techniques were employed post-surgery.

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Written by Li Rui
Otolaryngology
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Can I eat seafood with vocal cord nodules?

Patients with vocal cord nodules can eat seafood, as it does not exacerbate the condition, nor does it generally interact directly with medications used to treat vocal cord nodules, or affect the treatment outcomes. Therefore, it is generally safe for patients with vocal cord nodules to consume seafood. However, it is advised not to eat spicy and irritating foods, and to avoid smoking and drinking alcohol. These foods or poor lifestyle habits can significantly impact the condition, potentially worsening it. It is necessary to visit an otolaryngologist for standardized treatment and to have regular follow-ups to monitor the treatment effects.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord nodules be treated with acupuncture?

Vocal cord nodules are bilateral symmetrical benign protrusions that occur on the free edge of the vocal cords, and these protrusions are very small. Clinically, treatment is mainly through medication and primarily through vocal rest, which means speaking less. Thus, vocal cord nodules generally do not require treatment with acupuncture, as acupuncture does not have a significant effect on vocal cord nodules. However, if the vocal cord nodules are accompanied by other factors, the acupuncture treatment is for those other factors and not an indication for the vocal cord nodules. In summary, vocal cord nodules do not need acupuncture treatment, and acupuncture does not have much effect on vocal cord nodules.

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Written by Li Rui
Otolaryngology
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Can you drink honey with vocal cord nodules?

Patients with vocal cord nodules can drink honey. Honey is a common food that does not exacerbate the condition of vocal cord nodules, nor does it affect the treatment outcome of vocal cord nodules. However, long-term consumption of honey is not recommended due to its high sugar content, which may lead to excessive sugar intake and impact overall health. For patients with vocal cord nodules, it is necessary to visit an ENT (Ear, Nose, and Throat) department after the onset of symptoms for a laryngoscopy to assess the severity of the condition. Generally, treatment may include oral medications combined with nebulization therapy. During the treatment process, regular follow-ups are needed to monitor the effects of the treatment. (Specific medications should be taken under the guidance of a physician.)