Hoarseness is common, one of the most common causes of hoarseness is vocal cord polyps, but the degree of hoarseness can not be quantified, vocal cord polyps are large or small, there is no standard, so vocal cord polyps treatment in different hospitals, there are certain differences between different doctors, in addition to the doctor’s medical level, but also with the medical equipment, the existing medical system and medical advertising, etc. Hospital selection: At present, hospitals are divided into non-profit hospitals (public hospitals, in fact, also try to make profit, but the public good in the first place, profit in the second place, because the state financial subsidies are too small) and for-profit hospitals (private hospitals, profit may be placed first, because the investment to have a return). The distinction between the two: public hospitals are non-profit hospitals, do not do medical advertising. Hospitals that advertise online must be for-profit hospitals (including certain departments of PLA hospitals, certain departments of armed police hospitals, if there are medical advertisements, the ENT department must be for-profit, or contracted by someone). Hospitals or departments that claim to be non-profit and advertise online must be for-profit hospitals. Vocal fold polyp removal: the most common and popular procedure: microscopic laryngoscopy under general anesthesia to remove vocal fold polyps, a minimally invasive surgery, the entire anesthesia, surgery time of about half an hour. Other procedures: fiberoptic laryngoscopy or electronic laryngoscopy, advantages: no hospitalization, no general anesthesia, disadvantages: the surgical effect is much worse than the microlaryngoscopic removal of vocal fold polyps under general anesthesia. Minimally invasive plasma surgery for vocal cord polyps, a non-mainstream treatment method, relying mainly on advertising to attract patients, but the damage is large, do not fall for it. Operating level of surgeons: Although vocal cord polyp removal surgery is an introductory surgery for young ENT surgeons, vocal cord polyp surgery is relatively simple compared to other difficult surgeries. However, vocal cord polyp surgery has its own special characteristics, because conventional surgery is performed under direct vision, the doctor’s hand can directly touch the surgical site; but vocal cord polyp surgery, the doctor can only see the polyp through the laryngoscope or under the microscope, only in the laryngoscope through the surgical instruments to contact and remove the polyp. It is not easy for beginners to locate the polyps very precisely (especially under the microlaryngoscope), and they cannot remove the polyps at one time, but by touching and colliding with the vocal folds or polyps several times, in order to complete the removal of polyps, which results in heavier damage to the vocal folds, slower recovery of hoarseness after surgery, and more postoperative complications, and in serious cases, adhesions of the damaged vocal folds. Due to the unskilled surgery, the operation time is long and the anesthesia time is also extended accordingly, which makes the patient feel injured and slow to recover after the operation. Anesthesiologists: Anesthesia time is related to the level of anesthesiologists, if the surgeon is skilled and the anesthesiologist is excellent, the entire anesthesia time is 20 to 30 minutes. Except for sleeping for a while, the patient has no other special feeling. If the operation of the surgeon is not skilled, the anesthesiologist is not excellent, the anesthesia time is more than 1 time, the patient will have abnormal feelings. Equipment, instruments: thick laryngoscope, often large damage to the pharynx, postoperative sore throat, and even damage to the teeth, causing tooth loss in serious cases. If the patient’s neck is thick and short, often the surgery will fail. If the surgery fails, it is recommended to go to a large hospital for surgery, because large hospitals have small and different sizes of laryngoscopes that can meet the needs of different patients, and never do laryngeal cleft surgery. Whether the surgical instruments (polyp forceps) are exquisite or not also affects the treatment effect. If there are no exquisite surgical instruments, the surgical effect will definitely be discounted. Many vocal fold polyps do not require surgery: very small polyps and many hypertrophic bulging type polyps usually do not require surgery, and conservative treatment can cure the polyps. However, many patients have ineffective conservative treatment, which is due to insufficient physician education, or the patient did not follow the doctor’s instructions to treat the cause of the polyp without etiologic treatment and removing the cause of the polyp. Left vocal fold polyp disappears after conservative treatment Children’s vocal fold nodules or polyps generally do not need surgery, through etiological treatment, change speech habits can cure children’s vocal fold nodules and polyps, only long-term etiological treatment is ineffective, then consider surgery. However, many hospitals implement surgery first. The impact of the medical system: the current hospital financial subsidies do not invert the position, but the hospital still has to survive, in order to achieve the public good, but also to use various methods to profit and feed the staff. Many large tertiary class A hospitals, overcrowded with patients, have better control of surgical indications, and generally do not have excessive medical treatment, or excessive medical treatment is not serious. Smaller hospitals with relatively few patients, or hospitals that rely on advertising to attract patients, in order to survive, there will certainly be a lot of overmedication: small vocal cord polyps, can be conservatively treated, can also be surgically treated, you will certainly be called for surgery (this can not be blamed on the hospital, is the existing medical system caused. The government runs the hospital, the hospital runs on its own, and the money invested in the treasury is only able to pay the salaries of retired employees. Everything has gone up, is the doctor’s labor costs do not rise, technology is not worth. (Medical reform failed, the responsibility lies with the government, but the hospital still has to take the blame for the government). Patients are wealth, many hospitals will try to retain patients for any reason, the result is that small diseases are treated, and patients with very small polyps and hypertrophic bulging polyps are operated on. Hypertrophic bulging vocal fold polyps are already bad (which is one of the reasons not to operate), and if the medical technique is poor again, the post-operative voice will be worse than before surgery. Post-operative antibiotics use too much: general anesthesia microscopic laryngoscopy to remove vocal cord polyps, is a minimally invasive surgery, the damage is very small or almost no damage, generally do not need to use antibiotics (anti-inflammatory drugs), or use 1 to 2 days of oral antibiotics can be, after surgery do not need to hang saline, do not need to use too long antibiotics (but some hospitals to hang saline for about 1 week). Lack of post-operative education: Many patients think that after the removal of vocal fold polyps, all problems are solved and they can let go of their voices to speak, but they do not know that maintenance is more important, or the side will recur. Many advertisements mislead patients: 1. “A comfortable voice is made by drinking”, “If your voice is bad, please use Golden Voice”, “To protect your voice, please use Golden Voice Throat. It is better to listen to the doctor’s advice whether to use it and how to use it. 2, what vocal cord polyps low-temperature plasma treatment, optical fiber radiofrequency treatment, etc., claim to be the least traumatic to the human body, the least painful, the highest safety, but the reality is not so, these treatments are not the mainstream of treatment, the damage is large (compared with microscopic laryngoscopic surgery). To advertise, the hospital has to spend money, you go, you have to pay for the advertising of that hospital.