To pay attention to the prevention and treatment of vocal cord polyps

  The so-called vocal cord polyps, as the name suggests, is a mass of varying size in the mucosal tissue at the edge of the vocal cords (vocal folds), which prevents the normal closure and vibration of the vocal cords, resulting in abnormal sound. There is no name for this disease in Chinese medicine, but it belongs to the category of stasis in Chinese medicine. The vocal cord tissue can be divided into five layers, such as the mucosal layer (epithelial layer), the superficial lamina propria, the middle lamina propria and the deep lamina propria. Vocal fold polyps are lesions of the mucous membrane layer and the superficial intrinsic layer of the vocal folds, so they can cause vocal disorders and hoarseness. Vocal cord polyps are mostly due to voice abuse, long-term or one-time excessive use of voice, so that the vocal cord vibration is super strong, resulting in local damage to the vocal cord mucosa, and gradually formed polyps.     In the cold, acute and chronic laryngitis, the vocal cords have different degrees of congestion, edema, plus vocal cord mucosal damage, bleeding, edema, sometimes vasodilatation, sometimes bleeding, so that after the absorption of blood exudate, that becomes translucent polyps.  Long-term smoking or drinking, throat cavity, vocal cord mucosa is often in a congested state, coupled with excessive or improper vocalization, easy to cause damage to the vocal cord and polyps.  Women’s menstruation, due to the role of endocrine, so that the Ren vein, the Governor’s meridian Qi upward, Qi and blood is not regulated, the vocal cord is lightly congested, at this time, such as more language injury gas, singing injury throat, or vocal improper, the vocal cord is very easy to damage bleeding, gas and blood phlegm condensation, biochemical polyps.  Where short fat strong type of people, short head and neck, tongue extension too short, tongue back tongue root elevated people often heavy voice pronunciation, also prone to polyps. Vocal fold polyp is one of the most common voice diseases in laryngology, and its prevalence accounts for the first place of voice diseases, mostly seen in adult males, and rare in childhood.  The main symptom of vocal fold polyp is hoarseness, the degree of hoarseness can vary depending on the size and location of the polyp, with only slight changes in mild cases and hoarseness and even loss of voice in severe cases.  Vocal fold polyp is different from vocal fold nodule, which is a limited echinocytosis of the mucosal epithelium in the inner 1/3 of the vocal folds on both sides, and its lesion only involves the epidermis. In contrast, vocal fold polyps involve lesions in the epithelial layer of the vocal fold mucosa and the superficial lamina propria layer, and this limited prominent lesion prevents the vocal fold mucosa from vibrating and vocalizing, so surgery is generally the main treatment, especially for polyps with tips. The early stage of non-tipped vocal cord polyps can be taken to activate blood stasis, reduce swelling and open the sound of the Chinese medicine Golden Voice Dispersal Pill swallowed, most patients can swell the sound Yang. If the disease is longer, generally more than six months, or by a combination of Chinese and Western medicine regular conservative treatment for three months, the voice has not seen improvement, then the surgery to remove. After surgery, we can still use the method of activating blood circulation and removing blood stasis for dialectical treatment in order to improve the efficacy.  The human voice is the most sensitive barometer of people’s emotional state, and any impact or excitement of the mind directly affects the voice. In order to maintain a good physiological state of the voice, so as not to damage the vocal cords and produce polyps, it is necessary to cultivate the body, cultivate temperament, develop calm and relaxed habits of life, do not get angry when things go wrong, do not call loudly, and achieve a controlled voice, which is also necessary for civilization. In addition, we must also quit smoking and drinking, to avoid colds and upper respiratory tract infections, to achieve reasonable use of sound, these are very important.  Although vocal cord polyps are not precancerous, some early vocal cord cancers have a smooth surface and their appearance is easily confused with vocal cord polyps, therefore, all vocal cord polyp surgeries should be done for pathological examination to avoid missing the diagnosis.  Hoarseness is the main symptom of vocal cord polyps, but it is also an early sign of serious diseases such as laryngeal cancer (especially vocal cord cancer)! Especially for people over 40 years old who have hoarseness for more than three months, a detailed examination must be done to avoid misdiagnosis and lifelong regret.