White spots on the vocal cords

Mar 25, 2023 Source: Cainiu Health

Dr. Xu Gang

Introduction

White spots on the vocal cords may be caused by leukoplakia of the vocal cords, laryngeal keratosis, or laryngitis, and treatment should be tailored according to the specific condition. Patients are advised to avoid smoking and drinking alcohol, and to minimize exposure to irritants or radioactive substances. Regular follow-up visits to an otolaryngology clinic are recommended, including laryngoscopy examinations, which can clearly identify any pathological changes in the vocal cords.

White spots on the vocal cords may be caused by vocal cord leukoplakia, laryngeal keratosis, or laryngitis, and treatment should be tailored according to the specific condition.

1. Vocal Cord Leukoplakia

Vocal cord leukoplakia refers to white patches appearing on the vocal cords, possibly due to genetic or environmental factors. Patients may experience abnormal sensations in the throat, such as hoarseness or a foreign-body sensation, leading to the development of white lesions on the vocal cords. If symptoms are severe, surgical removal of the leukoplakia should be performed under medical guidance.

2. Laryngitis

White spots on the larynx refer to those appearing on the vocal cords, often caused by localized inflammation. This can result from long-term smoking or alcohol consumption, or overuse of the voice. Treatment under medical supervision may include antibiotics such as cefradine capsules, cefixime dispersible tablets, or azithromycin tablets.

3. Laryngeal Keratosis

Laryngeal keratosis is considered a precancerous lesion of the larynx, although it is generally benign. It is associated with factors such as smoking, alcohol consumption, voice misuse, gastroesophageal reflux, and genetic predisposition. Symptoms include hoarseness, throat itching, and coughing. Mild cases may be managed under medical supervision with long-term vitamin A supplementation, while more severe cases may require surgical intervention.

Patients are advised to avoid smoking and drinking, and to minimize exposure to irritants or radioactive substances. Regular follow-up visits to an otolaryngology clinic are recommended, including laryngoscopy, which allows for clear evaluation of vocal cord abnormalities.

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Can vocal cords recover after a prolonged period of voice rest?

Whether the vocal cords can recover after prolonged voice rest depends on the specific circumstances. Long-term voice rest can reduce stimulation to the vocal cords, allowing them to remain inactive and fully rested. As a result, symptoms such as swelling and congestion may improve, and spontaneous recovery is possible. However, if the vocal cord lesion is severe or the vocal polyp is large, the vocal cords generally will not recover even with prolonged voice rest.

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Why do the vocal cords vibrate?

The vocal cords vibrate, a process that typically involves various bodily functions and physiological mechanisms, such as the vocal cord muscles, laryngeal structures, vocal cord tension, neural control, and airflow. If discomfort in the vocal cords occurs, patients are advised to seek medical attention promptly for appropriate diagnosis and treatment. Do not arbitrarily increase medication dosage, and be aware of potential drug side effects.

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What is vocal cord squamous papilloma, and what should be done about it?

Laryngeal squamous papilloma may be caused by factors such as unhealthy lifestyle habits, environmental irritation, improper diet, low immunity, and human papillomavirus (HPV) infection. It is recommended to seek medical attention promptly. Under medical guidance, the condition can be improved through general management, medication, and other treatments. Specifically: in daily life, one should ensure adequate rest and sufficient sleep, and avoid staying up late.