Do vocal cord nodules require hospitalization?

Written by Li Rui
Otolaryngology
Updated on January 27, 2025
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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.

Other Voices

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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.)

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Written by Li Rui
Otolaryngology
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Vocal cord nodules atomization effect

Vocal cord nodules are a relatively common otolaryngological condition. The primary clinical symptoms are hoarseness. In terms of treatment, nebulization can be considered. Most patients respond well to nebulization, which can significantly improve hoarseness. Some patients may experience a gradual reduction in the nodules, but individual differences exist. For some patients, nebulization alone may not be effective, and they may need to combine it with oral medication. Regular laryngoscopic check-ups are necessary during the treatment process to monitor changes in the nodules. A small number of patients, who do not respond well to conservative treatments, might require surgical removal, but there is still a possibility of recurrence after surgery. (Please follow the guidance of a professional physician for medication use.)

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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 Mao Cai
Otolaryngology
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Treatment methods for vocal cord nodules

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.

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Written by Li Rui
Otolaryngology
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How to effectively treat vocal cord nodules?

Vocal cord nodules are a relatively common otolaryngological condition. In terms of treatment, it initially requires a laryngoscopic examination to assess the severity of the condition. Generally, conservative treatment is considered, commonly involving oral traditional Chinese medicine and nebulization therapy. Alongside medication, it's important to avoid excessive use of the voice and to engage in vocal rehabilitation training. Most patients will see gradual improvement in symptoms of hoarseness through these conservative treatments, and nodules may also gradually diminish in some cases. If standardized conservative treatments are ineffective and the symptoms of hoarseness are particularly severe, a small number of patients may consider surgical intervention.