Vocal Cord Growth: Causes and Concerns in ENT Health - Otolaryngology

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Nodules or lesions on the vocal cords?


Hello Doctor: Recently, I have been very anxious about my health.
I would like to describe my situation in detail.
About two months ago, I experienced a severe case of tonsillitis (I consulted an ENT specialist at that time).
After recovering, I started to feel dizzy, and the results of my inner ear temperature test indicated inner ear imbalance (due to vestibular neuritis).
A month later, I developed pharyngitis, which I initially did not take seriously.
I visited an ENT clinic, but a few days later, I began to feel a swollen sensation on the right side of my neck (I couldn't feel any swelling upon examination, but it felt strange and swollen).
After a few days of discomfort, I went to a major hospital's ENT department for an examination.
I was diagnosed with swollen lymph nodes and was prescribed antibiotics.
An ultrasound was also performed, revealing several lymph nodes on both sides of my neck (some measuring around 1.2 cm).
However, I only felt swelling on the right side, and I was puzzled as to why there was swelling on the left side as well.
Last week, one morning, after sneezing forcefully, I started experiencing severe pain above the right side of my Adam's apple when swallowing.
This pain has persisted for over a week.
I visited an ENT clinic, and the doctor believed it was just a muscle strain and prescribed anti-inflammatory and pain relief medication.
After taking the medication, the pain did lessen, but it returned once I stopped taking it (the pain only occurs when swallowing).
By yesterday, after enduring the pain for over a week, I couldn't take it anymore and went back to the major hospital's ENT department.
The doctor used a nasal endoscope to examine me and discovered a growth on my vocal cords.
They arranged for a CT scan.
Could you please explain what might have caused a growth on my vocal cords after sneezing? Is it possible that there was already something there? I am quite worried that it might be something serious.
Additionally, my dizziness has not improved; I have been feeling foggy and dizzy for over two months.
Now, with the discovery of this growth and the need for a CT scan, I feel quite scared.
If it is indeed a growth, would surgery be necessary for removal? Would it require a neck incision? Thank you, Doctor.

Hao danxin, 20~29 year old female. Ask Date: 2017/10/07

Dr. Zheng Jueyi reply Otolaryngology


Hello: Currently, it is difficult to make a determination.
It is recommended to discuss with the clinical physician after completing the CT scan.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/07

More Info


Hello! Thank you for sharing your concerns regarding your recent health issues, particularly the growth on your vocal cords and the associated symptoms. It’s understandable to feel anxious when faced with such health challenges, especially when they involve the throat and voice.

From what you've described, it seems that you have been experiencing a series of ENT-related issues, including tonsillitis, inner ear imbalance, and now a growth on your vocal cords. The growth you mentioned could be a vocal cord nodule, polyp, or even a cyst, which can develop due to various factors, including vocal strain, inflammation, or irritation. Given your history of throat inflammation and the recent episode of sneezing, it is possible that the growth was exacerbated by the increased pressure and strain on your vocal cords during that action.

The fact that you are experiencing pain while swallowing could indicate that the growth is causing some irritation or pressure in the surrounding tissues. This pain, combined with the sensation of a lump in your throat, can be quite distressing. It’s also worth noting that the presence of swollen lymph nodes in your neck can be a response to infection or inflammation, which is common after episodes of throat infections.

As for your concerns about the nature of the growth, it’s important to remember that not all vocal cord growths are cancerous. Many are benign and can be treated effectively. The CT scan that has been scheduled will provide more detailed information about the growth's characteristics, size, and its relationship to surrounding structures, which will help your healthcare provider determine the best course of action.

Regarding your dizziness and feelings of imbalance, this could be related to your previous vestibular issues or could be a separate concern altogether. It’s essential to address this with your ENT specialist, as they may need to evaluate your inner ear function further.

In terms of treatment, if the growth is determined to be benign and not causing significant obstruction or other complications, your doctor may recommend a watchful waiting approach or voice therapy. However, if the growth is causing significant symptoms or if there is any concern about its nature, surgical intervention may be necessary. This could involve a laryngoscopy, where the growth is removed through the mouth without the need for external incisions.

It’s crucial to maintain open communication with your healthcare provider. Be sure to express all your symptoms, including the pain during swallowing and the ongoing dizziness, as these details will help them provide you with the best care. If you have concerns about the possibility of malignancy or the need for surgery, don’t hesitate to ask your doctor for clarification and reassurance.

In the meantime, try to rest your voice as much as possible, stay hydrated, and avoid irritants such as smoke or strong odors. These measures can help reduce inflammation and promote healing.

Remember, while it’s natural to feel anxious about health issues, many conditions are manageable with the right medical care. I wish you the best in your upcoming appointments and hope for a swift resolution to your symptoms. Take care!

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