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Benign Tumors of the Larynx

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  • There are two basic types of benign tumors of the larynx.  One type is called vocal cord nodules, which occur in pairs and form at the junction between the anterior (front) 1/3 and posterior 2/3 of the vocal cords.  They occur because of "abuse" of the vocal cords, either by screaming or singing.
  • Another type is called polypoid type nodules (polyplike lesions) of the vocal cords, which may occur from Hypothyroidism (low thyroid conditions), industrial chemical irritants, smoking, or vocal "abuse" as above.

  • Hoarseness

  • Direct laryngoscopy -- an ear, eye, and nose specialist looks at the vocal cords (this procedure is done in the office).

  • Vocal cord nodules --
    1. Discontinue vocal abuse -- e.g., stop screaming or discontinue singing
    2. Speech therapy can help change voice habits.
    3. Surgical removal of nodules that remain after discontinuing vocal abuse.
  • Polypoid changes --
    1. Discontinue inciting activity, e.g., stop smoking, remove chemical exposure, discontinue singing, etc.
    2. Inhaled corticosteroids (e.g., Flovent) may quicken the resolution of this type of nodule.
    3. Removal of the vocal cords (if too thickened) may be advised.





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