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Understanding Vocal Cord Nodules and Polyps: Causes, Symptoms, and Treatment

Hoarseness can also occur if you suddenly use your voice a lot or catch a cold, but it will improve in about a week. However, if nodules or polyps (nodules) form in the vocal cords, the hoarseness does not improve easily and lasts for several weeks (Photo = Clip Art Korea).

As various festivals are held in various places to celebrate the Family Month, there has been an increase in cases of excessive neck strain. The next day, your voice may become hoarse, but if this condition occurs, If it lasts more than 2 weeks, it is not a cold but a voice disease such as vocal cord nodules or polyps.should be suspected. Both diseases affect the vocal cords and are characterized by hoarseness, but there are clear differences.

“Vocal cord nodules,” which are calluses on the vocal cords

Vocal cord nodules continually exert force on the neck to produce high notes. A disease in which calluses form on the vocal cordsIt is known to usually occur in both vocal cords. In addition to hoarseness, symptoms such as delayed vocalization, fragmented or uneven sounds in high notes, and a double voice may occur.

Statistically, vocal cord nodules occur more often in women. According to HIRA statistics for the past five years (2018-2022), the number of patients with vocal cord nodules (disease code J382, small vocal cord nodules) by gender was, on average, more than 80% higher in women compared to men.

■’Vocal cord polyp’, a polyp (lump) that forms on the vocal cords

On the other hand, vocal cord polyps In the vocal cords Diseases that cause polyps (nodules). Excessive vocalization damages the small blood vessels or vocal cord tissues, causing cysts to form and a hoarse voice like vocal cord nodules. A foreign body sensation in the larynx may cause frequent coughing, and breathing may become difficult as the polyp grows.

According to patient trends, there is no significant difference in vocal fold polyps by gender, and the total number of patients is less than that of vocal fold nodules. Unlike vocal cord nodules, they often occur in one vocal cord.

Professor Kim Soo-il of the Department of Otolaryngology at Gangdong Kyung Hee University Hospital said:Vocal cord polyps occur when the vocal cords are irritated by loud shouting or constant coughing, even if the throat is not used frequently.“You can do it,” he said. “On the other hand, Vocal cord nodules occur due to constant use of the neck.“There seems to be more patients because it’s easy to do and the frequency of voice use is high in many occupations,” he explained.

■Recovery through voice therapy… Surgery only when necessary

Vocal cord nodules and polyps are often caused by incorrect vocalization techniques, so voice therapy to correct vocalization is performed first. Professor Han Seung-hoon of the Department of Otolaryngology at Dongtan Sacred Heart Hospital of Hallym University said: “In principle, we do not perform surgery on pediatric patients with vocal cord nodules because the treatment effect vocally is excellent.” Unlike vocal cord nodules, vocal cord polyps usually require surgery.“Yes,” he said.

The surgery is performed by inserting a laryngoscope into the mouth after general anesthesia and safely removing the lesion by magnifying it with a microscope. It varies depending on the cause of the disease, but most cases are completed within 30 minutes and patients can be admitted to hospital in the morning, undergo surgery, and be discharged the following afternoon.

Professor Soo-il Kim said: “Refrain from using your voice for a week after surgery and avoid alcohol, cigarettes and coffee. “We need to ensure the surgical site heals cleanly,” he said.For the next 1 to 2 weeks, be careful about clearing your throat, making loud noises, yelling, or making extremely high-pitched or low-pitched sounds.“We have to do it,” he urged. Also, if you feel thirsty or hoarse after talking for a long time, it’s best to take a break right away.

In the meantime If the hoarseness persists for more than two weeks and you even feel a foreign body sensation when swallowing, it could be laryngeal cancer and you should seek appropriate treatment.It’s nice to receive it. Professor Seung-Hoon Han said: “In particular, If you have a history of smoking or drinking and are elderly, be sure to check for the possibility of laryngeal cancer.“If it is detected early and treated properly, the 5-year survival rate is more than 90%, so the treatment outcome is excellent,” he said, adding, “Early diagnosis is more important than anything else.”

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