What should I do if the vocal cord nodules become fibrotic?

Written by Li Rui
Otolaryngology
Updated on November 29, 2024
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Vocal cord nodules fibrosis is relatively common. Firstly, it is necessary to visit an otolaryngology department for a laryngoscopy to assess the severity of the condition. If the symptoms of hoarseness are not very pronounced and the vocal cord nodules are small, it is recommended to rest the voice and avoid excessive use of the voice, with regular follow-ups. If the vocal cord nodules are larger and accompanied by hoarseness, it may be necessary to consider oral medication and nebulization treatment. During the treatment process, laryngoscopy should be repeatedly done to monitor changes in the nodules. A small number of patients may require surgical removal if conservative treatment does not yield satisfactory results.

Other Voices

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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 Yao Jun
Otolaryngology - Head and Neck Surgery
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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.

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Written by Deng Bang Yu
Otolaryngology
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Can people with vocal cord nodules drink alcohol?

Vocal cord nodules are benign neoplasms located on the vocal cords, usually occurring bilaterally and symmetrically. The main clinical symptom is hoarseness. Individuals with vocal cord nodules should avoid alcohol, as drinking can cause the vocal cord mucosa to become congested and swollen, exacerbating vocal cord nodules or chronic inflammation, and worsening the condition. Additionally, alcohol can directly irritate the vocal cords because it is a spicy and irritating substance. Therefore, it is advised not to drink alcohol when you have vocal cord nodules. It is also important to avoid abusing the voice, which includes refraining from long periods of speaking and not screaming loudly. These precautions need to be adhered to.

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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 Zhang Jun
Otolaryngology
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What nebulization is used for vocal cord nodules?

Nebulized inhalation is very effective in treating vocal cord nodules. It requires the use of corticosteroids, as corticosteroids can reduce congestion and edema on the surface mucosa of the vocal cords, which is helpful for the recovery of vocal cord nodules. Vocal cord nodules are caused by improper or excessive use of the voice over a long period, loud and strenuous talking, and irritation from gastric acid reflux, leading to congestion, edema, and hyperplasia of the vocal cord surface mucosa. Patients may experience persistent hoarseness that progressively worsens. Vocal cord nodules are generally bilateral. Examination with a laryngoscope can reveal pale, granular neoplasms at the anterior-middle third of both vocal cords. Conservative treatment, such as nebulized inhalation, can be very effective initially. Voice rest, or refraining from speaking, is also necessary. If conservative treatment is ineffective, local surgical excision may be required for a cure.