How should vocal cord nodules be treated?

Written by Li Rui

Otolaryngology

Updated on April 04, 2025

00:00

00:00

The treatment of vocal cord nodules mainly prioritizes conservative management, focusing on pharmacotherapy and simultaneously recommending voice training. Regarding medications, oral traditional Chinese medicines are commonly used, along with inhaled corticosteroids, generally requiring one to two weeks of treatment. Additionally, voice training is necessary to avoid excessive voice use, as it can exacerbate symptoms of hoarseness and lead to recurrent vocal cord nodules. If standardized medication treatments fail and severe hoarseness prevails, a small proportion of patients might consider undergoing vocal cord nodule removal surgery under laryngoscopy. Overall, surgery is not the first option, but its results are relatively definitive.

Other Voices

home-news-image

Written by Yao Jun

Otolaryngology - Head and Neck Surgery

1min 17sec

home-news-image

How to treat vocal cord nodules

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.

home-news-image

Written by Deng Bang Yu

Otolaryngology

43sec

home-news-image

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.

home-news-image

Written by Li Mao Cai

Otolaryngology

50sec

home-news-image

The best treatment method for vocal cord nodules

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.

home-news-image

Written by Li Rui

Otolaryngology

40sec

home-news-image

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.

home-news-image

Written by Li Mao Cai

Otolaryngology

55sec

home-news-image

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.