How to cure leukoplakia of the vocal cords

Dec 01, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
Complete eradication of vocal cord leukoplakia requires surgical removal of the lesion, control of risk factors, adjunctive medical therapy, regular follow-up monitoring, and improvement of voice use habits. Combining etiological intervention with standardized treatment can reduce the risks of recurrence and malignant transformation. If hoarseness persists for more than 2 weeks or a foreign body sensation in the throat occurs, prompt medical evaluation is recommended.

Radical treatment of vocal cord leukoplakia requires a comprehensive approach involving surgical removal of the lesion, control of risk factors, adjunctive medication, regular follow-up monitoring, and improvement of voice use habits. By combining etiological intervention with standardized therapy, the risks of recurrence and malignant transformation can be reduced. If hoarseness persists for more than two weeks or a foreign body sensation in the throat occurs, timely medical evaluation is recommended.

1. Surgical removal of the lesion: This is the core method for radical treatment. Using laser or micro-instruments under a laryngoscope, the leukoplakia tissue is precisely excised to completely remove the affected area. Postoperative pathological examination determines whether malignancy is present. This approach is suitable for all patients with surgical indications.

2. Control of risk factors: Quitting smoking and alcohol consumption is essential, as long-term exposure to tobacco and alcohol exacerbates mucosal damage to the vocal cords. Actively treat gastroesophageal reflux disease (GERD), since acid reflux repeatedly irritates the vocal cords. Also avoid exposure to dust and harmful gases.

3. Adjunctive drug therapy: Anti-inflammatory drugs and acid-suppressing medications may be used to alleviate mucosal congestion and edema associated with inflammation or reflux symptoms, aiding postoperative recovery. However, medications cannot replace surgery and should only serve as a supplement within comprehensive management.

4. Regular follow-up monitoring: After surgery, patients should undergo periodic laryngoscopic examinations as directed by their physician to monitor vocal cord healing and detect early signs of recurrence. Patients with histopathological findings of atypical hyperplasia require shorter intervals between check-ups.

5. Improvement of voice use habits: Avoid shouting or prolonged speaking to allow adequate vocal cord rest and reduce mucosal friction injury. Learn proper voice production techniques to prevent vocal fatigue due to overuse, which supports functional recovery after surgery.

In daily life, maintain good oral hygiene, drink plenty of water to keep the throat moist, follow a light diet avoiding spicy or excessively hot foods, maintain regular sleep patterns to boost immunity, strictly avoid tobacco, alcohol, and irritating environments, and gradually resume voice use after surgery—avoiding premature or excessive vocal strain.