Can vocal cord polyps be eliminated by taking medicine?

Vocal cord polyps are relatively common in our daily life. We must be vigilant when they occur. Not only will it cause problems with a person's voice, it will often cause discomfort in the throat. If we do not pay attention, it may even cause lesions. Therefore, when vocal cord polyps appear, we must go to the hospital for examination in time. It can be treated through surgery to avoid greater harm.

Surgical method

The body position is the same as that of direct laryngoscopy. After exposing the glottis, different laryngeal forceps are selected according to the size, shape, and location of the polyp. 1. For polyps on the edge of the vocal cords, flat-head triangular forceps or triangular tilted-head forceps are often used. After biting the polyp with the pedicle, move the forceps slightly toward the midline. If you see that the polyp has been clamped and the edge of the vocal cord is not accidentally clamped, you can bite the forceps tightly to remove the polyp. 2. Polyps on the surface of the vocal cords should be removed using flat-headed cup-shaped forceps. 3. During surgery for polyps under the vocal cords, the bevel at the front end of the laryngoscope should be guided into the subglottic area, and the bevel should be turned to the affected side to expose the polyps under the vocal cords. Use flat-headed or tilted-headed cup-shaped forceps to bite off the polyps. 4. The pedicle of a polyp with a wide base can sometimes occupy more than half of the length of the vocal cord, and the boundary with the edge of the vocal cord is unclear. It can be petal-shaped and float up and down with the airflow of breathing. Use cup-shaped forceps or triangular forceps to carefully remove the polyp in several times. You can also use a sharp laryngeal knife under a microscope to pierce the base of the polyp, cut part of the pedicle along the edge of the vocal cord, and then bite it off with laryngeal forceps.

Precautions

1. During the operation, care should be taken to avoid accidental injury to the vocal cords to avoid long-term hoarseness due to defects in the edge of the vocal cords. Therefore, the polyp should be removed appropriately according to its size. If there are difficulties in the actual work, it is better to remove less. If it is not completely removed in one go, another surgery can be performed. If too much is removed, it will be difficult to remedy. 2. During surgery, the vocal process should be avoided from being damaged to prevent adverse consequences such as vocal cord movement disorders. 3. When it is difficult to expose the glottis during surgery, do not use the canines as a fulcrum to lift the laryngoscope upwards to avoid the teeth falling off. An assistant should lift the laryngoscope completely upward, or use a chest suspension stand to assist. 4. For patients with a smaller glottic fissure due to laryngeal lesions, who may have breathing difficulties during surgery, tracheotomy should be performed first to prevent suffocation.