Vocal Cord White Patches: Causes and Care Tips - Otolaryngology

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Understanding vocal cord white patches, also known as leukoplakia, is crucial for anyone experiencing changes in their voice or throat discomfort. These white patches can be caused by various factors, including chronic irritation, smoking, excessive voice use, or underlying health conditions. In your case, having undergone surgery for chronic sinusitis may have contributed to the development of these patches, especially if there has been ongoing irritation or inflammation in the throat area.

Leukoplakia on the vocal cords can be a sign of irritation and may require careful monitoring. It's essential to follow your physician's advice regarding nasal irrigation and throat care. Regular nasal washing can help maintain nasal hygiene, reduce inflammation, and prevent infections, especially after sinus surgery. However, it's important to use saline solutions that are appropriate for nasal irrigation to avoid any potential side effects, such as irritation or dependency on the saline solution.

Regarding your concern about whether you need to wash your nose for a lifetime, it largely depends on your individual condition and the advice of your healthcare provider. Many people with chronic sinus issues find that regular nasal irrigation helps manage their symptoms effectively. It is not uncommon for some individuals to incorporate nasal washing into their daily routine as a preventive measure against sinus infections and to maintain overall nasal health.

In terms of the sensation you described, such as feeling like "ants are crawling" on your vocal cords, this could be a result of irritation or inflammation in the area. It’s essential to communicate these sensations to your doctor, as they may indicate that further evaluation or treatment is necessary. Your doctor may recommend voice therapy, lifestyle changes, or other interventions to help alleviate these symptoms and promote vocal health.

Additionally, if you are experiencing persistent white patches on your vocal cords, your physician may suggest a laryngoscopy to assess the condition of your vocal cords more closely. This procedure allows for a detailed examination and can help determine if any further action is needed, such as biopsy or other treatments.

In summary, managing vocal cord health, especially after surgery, requires a multifaceted approach. Regular nasal irrigation can be beneficial, but it should be done correctly and under medical guidance. Always keep an open line of communication with your healthcare provider about any changes in your symptoms, and follow their recommendations for care and monitoring. Taking proactive steps in your vocal health can help you maintain your singing abilities and overall throat comfort.