Vocal Cord Polyp

Vocal Cord Polyp

Vocal Cord Polyp

Polyps are fluid-filled tissue deformations that are formed on the tissues covered with mucosal structure in the body, develop by adhering to the tissue, resemble a tumour and are filled with fluid.

Untreated polyps can cause major and important health problems over time. They can be seen in many areas such as the nose, throat, vocal cords, intestines, gallbladder, and uterus. Although they are mostly benign, there are also malignant types that have the risk of becoming cancerous.

They are attached to the tissue on which they are formed, sometimes with a small stalk and sometimes with a broad base. They can be of very different sizes. They can heal on their own. As they increase in size, the severity of the complaints they cause increases and they are surgically removed.

Vocal Cord Polyp (Vocal Cord Polyp) is a fluid-filled, benign tissue deterioration that prevents the closure of the vocal cords, usually caused by intra-tissue haemorrhages in the middle part of the free surface where the vocal cords come into contact with each other. Like nodules, it can occur as a result of long-term use of the voice at the wrong intensity and loudness (pitch) or excessive use of the voice, or it can be seen after a single voice strain. Unlike nodules, it may occur in one or both vocal cords. Its appearance is distinctly red in colour. It contains numerous blood vessels and progresses towards a vascularised structure. They come in different shapes and sizes, but are often larger than nodules and resemble blisters.

Reinke’s Oedema (Polypoid Degeneration), which can be seen in all individuals but is more common in women and manifests itself with a thick voice, is a different type of vocal cord polyp. Excessive smoking is the biggest factor in its formation.

How is Vocal Cord Polyp Surgery Performed?

After the diagnosis of vocal cord polyp is made, if the voice rest, drug treatment and voice therapy methods applied to the patient do not yield results, a decision for surgical intervention is made. Endoscopic methods called Phonomicrosurgery and Microlaryngoscopy, which do not involve any external incision, are used:

Untreated polyps can cause major and important health problems over time. They can be seen in many areas such as the nose, throat, vocal cords, intestines, gallbladder, and uterus. Although they are mostly benign, there are also malignant types that have the risk of becoming cancerous.

Since the reason for the formation of vocal cord polyps is the wrong behaviour in the use of the voice, it is strongly recommended to receive voice therapy to prevent recurrence after the vocal cords have healed.

What are the Symptoms of Vocal Cord Polyps?

Although the symptoms vary in each individual, vocal cord polyps should be suspected when the following symptoms are seen alone or together:

  • Lowering the Volume,
  • Forking,
  • Voice changes seen in the form of trembling,
  • Changes in Voice Tone During Speech,
  • Deterioration of Sound Quality,
  • Restlessness and Pain in the Throat,
  • Neck Pain

If the vocal cord polyps are not diagnosed and diagnosed and the necessary treatment is not applied, it may cause irreparable problems such as scar formation on the vocal cord (scar), painful voice use, permanent hoarseness.

A detailed examination of the vocal cords should be performed by a specialist ear-nose-throat doctor to determine whether the complaints are caused by vocal cord polyps.

Frequently Asked Questions

How do vocal cord polyps develop?

Vocal cord polyps can often develop as a result of constant irritation or damage to the vocal cords. Activities such as loud talking, shouting, excessive coughing can cause polyp formation.

Who are suitable candidates for vocal cord polyp surgery?

Surgery for vocal cord polyps is often necessary to treat polyps that cause hoarseness or other voice-related problems. An otolaryngologist can assess whether surgery is appropriate.

Is vocal cord polyp surgery painful?

Vocal cord polyp surgery is generally painless or associated with very mild discomfort. Since the procedure is performed under general anesthesia, nothing is felt during the operation. After waking up, there may be a mild burning sensation, dryness, or a feeling of a foreign body in the throat, but these are not considered severe pain. After vocal cord polyp surgery, most patients feel comfortable with just throat lozenges or mild pain relievers. Severe pain is not expected, and if it occurs, you should inform your doctor. Throat discomfort usually resolves completely within 2–4 days.

When will my voice return to normal after vocal cord polyp surgery?

After vocal cord polyp surgery, the voice does not improve immediately; a gradual recovery process is expected. During the first 1–2 weeks, the voice may sound hoarse or weak, which is normal as the vocal cords are healing. Noticeable improvement usually begins within 3–4 weeks after surgery, and the voice becomes clearer. Complete healing and a return to the previous voice quality may take 2–3 months. Voice therapy after vocal cord polyp surgery can accelerate recovery and help teach proper voice use. For professional voice users, returning to full performance may take 3–6 months.

Can a vocal cord polyp recur after surgery?

Vocal cord polyp surgery completely removes the existing polyp, but it does not eliminate the underlying causes, so recurrence is possible. If the same harmful voice habits continue after surgery, a new polyp may develop. The key to the success of vocal cord polyp surgery is receiving voice therapy after the procedure and following proper voice hygiene rules. Avoiding shouting, drinking plenty of water, staying away from smoking and alcohol, and keeping reflux under control help prevent recurrence. If voice therapy is not undertaken, vocal cord polyps may recur in approximately 5–10% of patients after surgery.
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