There are two main causes of large laryngeal nodes: first, the pathological aspect of the enlarged laryngeal nodes, which requires a series of tests, including thyroid ultrasound, cervical lymph nodes, as well as CT and magnetic resonance examination of the neck, especially the cartilage and bone of the larynx, to rule out the presence of any abnormal pathological conditions, such as hyperthyroidism, laryngeal swelling, such as thyroglossal cysts, and so on. At the same time, combined with the presence of symptoms, such as swallowing foreign body sensation, hoarseness, etc., a comprehensive judgment of the presence of abnormal pathological conditions. Secondly, the laryngeal knot belongs to the physiological hypertrophy, some people because of the different angle of the cartilage of the larynx, manifested as the laryngeal knot forward protrudes, appears very hypertrophic, this is physiological, there are no other special symptoms, a variety of tests are normal, so for this physiological hypertrophy of the laryngeal knot, do not need to worry about it, it is a normal situation.