Throat Polyps and Healing: When to Seek ENT Care - Otolaryngology

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There is a bump in the throat, and after the hole heals, it appears white?


Hello, doctor.
I would like to ask about a small polyp that has developed deep in the right lower part of my throat, close to the base of the tongue and next to the left side of the right molars.
It doesn't hurt, and I can't see it when I open my mouth wide and look in the mirror; I can only feel it by touch.
However, there is no corresponding growth on the left side, so I'm unsure if this is related.
Do I need to seek medical attention?
Additionally, I have another question regarding a previous surgery where my throat was injured during intubation.
There is a small white patch at the site of the right side hole that formed, but it doesn't hurt and has been there for about two months.
Is this normal? Thank you.

Mi Mi, 40~49 year old female. Ask Date: 2020/05/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: Currently, it is not possible to determine what tissue has been felt.
If you are concerned, it is advisable to visit an otolaryngologist for confirmation.
As for the white appearance of the healing wound post-surgery, it is usually normal fibrous tissue resulting from the healing process.
If there is no discomfort, you can simply observe it.
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: 2020/05/06

More Info


When it comes to throat polyps and the need for ENT (Ear, Nose, and Throat) care, there are several important factors to consider. Throat polyps, also known as vocal cord nodules or laryngeal polyps, are benign growths that can develop on the vocal cords or other areas of the throat. They are often caused by vocal strain, irritation, or inflammation, and while they may not always cause pain, they can lead to changes in voice quality and other symptoms.

In your case, you mentioned that you have a small polyp-like growth on the right side of your throat, near the base of your tongue, which is not painful and is not visible when you open your mouth wide. The fact that you can only feel it by touch suggests that it may be small and not causing significant obstruction or discomfort. However, the asymmetry you noted—having a growth on one side and not the other—can be a reason to seek medical attention. While many throat polyps are benign, any new growth should be evaluated by a healthcare professional to rule out more serious conditions, including the possibility of malignancy.

Regarding the white patch you observed at the site of a previous injury from intubation, it is not uncommon for healing tissues to appear white or discolored as they recover. This can be due to a variety of factors, including the formation of scar tissue or changes in the mucosal lining. However, if the white area persists, changes in size, or is accompanied by other symptoms such as pain, difficulty swallowing, or changes in voice, it is advisable to consult an ENT specialist.

In general, you should seek ENT care if you experience any of the following:
1. Persistent Symptoms: If the polyp or any throat issue persists for more than a few weeks, or if you notice changes in your voice, difficulty swallowing, or breathing problems.

2. Changes in Size or Appearance: If the polyp grows larger, changes color, or if new symptoms develop.

3. Pain or Discomfort: While you mentioned that the polyp is not painful, any new pain or discomfort in the throat should be evaluated.

4. History of Intubation or Surgery: Given your history of intubation and the subsequent injury, it is essential to monitor the healing process closely. Any concerns about the healing site should be addressed with a professional.

5. Anxiety or Concern: If you are feeling anxious about the growth or the healing process, it is always better to consult a healthcare provider for peace of mind.

In conclusion, while your current symptoms may not seem urgent, it is always wise to err on the side of caution when it comes to changes in your throat or vocal cords. An ENT specialist can provide a thorough examination, possibly including imaging studies or a laryngoscopy, to assess the growth and ensure that it is benign. They can also offer guidance on any necessary treatment options, whether that involves monitoring, medication, or surgical intervention if needed. Your health and peace of mind are paramount, so don't hesitate to seek care if you have concerns.

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