This is an automatically translated article.
The article was professionally consulted by Specialist Doctor Ear, Nose Throat Doctor - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International Hospital.
Chronic laryngitis, if not diagnosed and treated promptly, will cause complications of laryngeal fibrosis. If this disease is encountered, the patient often has hoarseness, difficulty pronouncing or sometimes feeling short of breath or chest tightness when communicating. So, how to treat laryngeal granulomatous disease?
1. What is vocal cord nodules?
Laryngeal fibroids are also known as laryngeal fibroids. The main manifestation of the disease is the appearance of small fibrous granules on both sides of the vocal cords. The characteristics of these fibrous granules are that they have wide legs, a tendency to grow symmetrically with each other, nearly equal size and grow on both sides of the vocal cords. This is considered a sequelae of long-term chronic laryngitis without proper treatment, the disease is more common in women than in men.
Because it is a deep complication of chronic laryngitis, laryngeal fibroids will also have a higher frequency in people who do jobs that require a lot of voice such as: presenter, singer. ... Especially when the throat is swollen, painful, hoarse but still do not let the vocal cords rest, this will cause the larynx to become inflamed and over time, vocal cord fibers will tend to appear.
The vocal cords are often not closed due to these small fibrous particles, and the vocal cords will vibrate irregularly. Therefore, hoarseness and loss of voice are the main signs of the disease.
2. How are laryngeal fibroids affected?
Laryngeal fibrosis is a benign disease that does not affect life, but the disease can cause many negative effects on the patient's health if not treated properly and promptly such as:
2.1. Hoarse voice, short of breath
The prolonged hoarseness, accompanied by dry cough and cough with mucus, makes the patient gradually lose his voice, the voice cannot come out. The patient feels short of breath when communicating and makes the other party unable to understand what the patient wants to say.
2.2. Laryngitis
Although vocal cord nodules are a complication of chronic laryngitis, chronic laryngitis increases the risk of acute laryngitis. The main cause is bacteria that attack when the vocal cords are injured.
2.3. Laryngeal cancer
Although very rare, the rate of laryngeal cancer is still possible. This is the most serious and severe complication of vocal cord nodules.
2.4. Sore throat
When you have laryngeal fibroids, it is very easy to cause a sore throat. Especially when the patient has to scream loudly or when swallowing food, the level of sore throat often tends to increase.
In addition, as the tumor grows larger, the laryngitis will also become more severe. Patients are at high risk for complications on the airways or laryngeal hemorrhage...
3. How is laryngeal fibroid disease treated?
3.1. Internally medical treatment
Using oral drugs is a way to treat laryngeal fibroids, although it is not possible to completely remove the fibrous particles, but will help inhibit their growth. In addition, medications also help treat symptoms, reduce discomfort for patients. When suffering from laryngeal fibrosis, medications and lifestyle changes are often prescribed:
Certain antibiotics, anti-inflammatory, pain relievers help reduce symptoms of sore throat swelling. Gargle and gargle regularly with physiological saline. Give up the habit of drinking ice cold water and alcoholic beverages like beer. Limit talking as much as possible. Drink plenty of water to prevent a dry throat. Types of water to use include warm water, fruit juices of all kinds. Limit exposure to chemicals, dust or cigarette smoke. If medical treatment does not improve the patient's condition, the patient should consider endoscopic vocal cord surgery.
3.2. Endoscopic treatment of laryngeal fibroids
In many cases, when the fibrous particles have tended to grow too large, medical treatment is no longer effective, the patient is at risk of losing his voice completely due to severe damage to the vocal cords. . The doctor needs to consider endoscopic surgical intervention to remove the fibrous granules, helping to solve the problem.
The advantage of laparoscopic surgery is that it is highly effective, less invasive, less painful, so the patient's health recovers soon. If the vocal cords have too many fibrous granules, the normal surgical method may cause extensive damage to the lining of the larynx, and normal tissues may also be damaged and irreversible scarring may form. Meanwhile, the laparoscopic microsurgery method has a more selective effect, the tool size is small, so when cutting the fibrous seeds, it will not cause damage to the surrounding healthy tissues.
After surgery, the patient should abstain, limit the use of the voice for a certain period of time so that the vocal cords can recover. During this time, it is possible to use some auxiliary devices to help amplify the voice to limit the need to speak too loudly. Besides, relatives need to pay attention to create a quiet space for the patient to rest, avoid disturbing so that the patient does not have to talk too much. Rest room needs to ensure ventilation, the air is not too dry.
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