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After nasal polyp removal, my voice became worse.

Sep 26, 2023 Source: Cainiu Health
Dr. Song Haitao
Introduction
In general, changes in voice quality becoming worse after nasal polyp removal may be related to psychological factors, laryngeal muscle tension, trauma to laryngeal tissues, nasal airflow issues, laryngeal inflammation or swelling. Patients are advised to follow medical instructions for symptomatic treatment. Additionally, it could also be associated with vocal cord injury, laryngeal cancer, and other factors. If patients experience any discomfort, they should seek timely medical evaluation at a hospital.

In general, voice changes such as sounding worse after nasal polyp surgery may be related to psychological factors, laryngeal muscle tension, laryngeal tissue trauma, nasal airflow issues, or laryngeal inflammation or swelling. Patients are advised to follow medical guidance for symptomatic treatment. Specific analyses are as follows:

1. Psychological Factors

The surgery itself and the recovery process may psychologically affect the voice. Postoperative discomfort, tension, and anxiety can lead to voice changes. Psychological issues such as loss of confidence in one's voice or increased nervousness may also alter voice perception. It is recommended to adjust one’s mindset and maintain a positive mood.

2. Laryngeal Muscle Tension

After nasal polyp surgery, the muscles of the larynx may become tense, which can affect vocal cord vibration. During the postoperative recovery period, discomfort in the larynx may cause increased muscle tension, restricting vocal cord vibration or producing abnormal sounds. Adjusting one’s mental state is recommended.

3. Laryngeal Tissue Trauma

During surgery, laryngeal tissues—including the vocal cords or other supporting structures—may sustain injury. Such damage can restrict or interfere with normal vocal cord vibration, affecting voice production. It is recommended to allow adequate rest for the larynx under medical supervision and avoid strenuous or excessive use of the voice, such as loud speaking, singing, or coughing. This helps reduce strain on laryngeal tissues and supports recovery.

4. Nasal Airflow Issues

Nasal polyps can obstruct nasal airflow, which plays an important role in voice production. After removal of the polyps, improved nasal airflow may alter voice resonance and timbre. Under medical guidance, patients may use medications such as budesonide inhalation aerosol or normal saline solution to alleviate symptoms.

5. Laryngeal Inflammation or Swelling

Following surgery, temporary inflammation or swelling in the larynx may occur, potentially disrupting normal vocal cord vibration. This can result in hoarseness, muffled tone, or unclear speech. Treatment under a doctor's supervision may include medications such as prednisolone acetate tablets or budesonide inhalation aerosol.

In addition, voice changes may also be associated with vocal cord injury, laryngeal cancer, or other conditions. If patients experience any discomfort, they should seek timely medical evaluation to avoid delays in diagnosis and treatment.

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