
Treatment of Vocal Cord Contact Ulcers
- Resting the voice
- Voice therapy
- For gastroesophageal reflux, taking antacids, not eating near bedtime, and elevating the head of the bed
- Sometimes, antibiotics
- Resting the voice.
- Voice therapy.
- For gastroesophageal reflux, taking antacids, not eating near bedtime, and elevating the head of the bed.
- Sometimes, antibiotics.
What is the treatment for vocal cord contact ulcers?
Treatment of vocal cord contact ulcers involves resting the voice by talking as little as possible for at least 6 weeks so that the ulcers can heal. Whispering may cause further injury and must also be avoided. To avoid recurrences, people who develop contact ulcers need voice therapy to learn how to use the voice properly.
What are vocal contact ulcers and what causes them?
Usually, contact ulcers develop when the vocal folds are aggressively pushed together. These people tend to use too much force when they speak, perhaps shouting or yelling often. Like ulcers in other parts of the body, vocal contact ulcers appear like sores.
How long does it take for vocal cord ulcers to heal?
Vocal cord ulcers should improve with rest after a few weeks. Infections usually go away within a week or two. Antibiotics and antifungal medication can help a bacterial or yeast infection clear up faster.
How can I heal my vocal cords?
Remember to consult your doctor first before trying any remedies at home to heal your vocal cords. In general, your doctor will prescribe vocal rest, hydration, and sleep for mild to moderate cases. For severe cases, your doctor may recommend voice therapy, bulk injections, or even surgery. Consult your doctor.

How long does it take for vocal cord ulcers to heal?
Most, however, have to be removed surgically. Contact ulcers – It can take a long time for contact ulcers to heal. Some doctors recommend resting your voice for a minimum of six weeks. If the ulcers are caused by acid reflux, the reflux problem must be treated to keep your vocal cords healthy.
What causes contact ulcers on vocal cords?
Contact ulcers on the vocal cords can occur when too much force is used in speech. When the vocal cords are excessively forced together, ulcerated sores may occur. Tissue may also wear away on or near the larynx cartilages. Ulcers sometimes are also caused by gastroesophageal reflux.
How do you treat contact ulcers?
Typically, the first line of treatment for a granuloma/contact ulcer is medicinal management of reflux. Additionally, patients will be strictly instructed to cease any throat clearing or coughing in order to decrease further irritation of the lesion. Voice therapy may also be beneficial.
What does a vocal cord ulcer feel like?
Generally, vocal cord ulcers occur due to mechanical or chemical damage, such as the overuse of voice, chronic coughing, throat clearing, or gastroesophageal reflux disease [3]. The common symptoms of vocal cord ulcers and granulomas are throat pain, hoarseness, and coughing [4].
Are vocal cord ulcers painful?
Symptoms of laryngeal contact ulcers include varying degrees of hoarseness and mild pain with phonation and swallowing.
How do you repair damaged vocal cords?
Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. In some instances, you may get better without surgical treatment. For this reason, your doctor may delay permanent surgery for at least a year from the beginning of your vocal cord paralysis.
How do you treat vocal cords from acid reflux?
Here are 3 things that may help stop the throat clearing:Try swallowing to clear the throat.Exhale forcefully rather than cough.Gently tap the vocal cords together rather than a forceful effort to clear the throat.
Can vocal cord granulomas be cancerous?
Vocal cord granuloma complications The granulomas can continue to grow if not treated. If the vocal cord granulomas make breathing difficult, medical attention should be sought immediately. In rare cases, a granuloma can signal the presence of cancer.
How do you treat contact granulomas?
In existing studies, 3 categories of treatment for laryngeal contact granulomas can be applied clinically: surgical excision, conservative treatment based on anti-reflux management [6], and botulinum toxin A injection.
How do you treat vocal cord nodules at home?
Vocal Cord Nodules Treatment at HomeUse a humidifier or vaporizer to introduce moisture in the air.Drink extra fluids like water or juice to hydrate your body.Avoid dehydrating drinks like coffee and alcohol.If you have airborne allergies, ask your doctor what medications may help or use an air purifier.More items...
Treatment of Vocal Cord Contact Ulcers
An infection of the ear canal may involve the entire ear canal or just one small area. Which of the following is the most likely cause of this type of infection?
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How long does it take for a larynx lesion to heal?
These lesions may take many months or even up to a year or two to heal.
How is a granuloma treated?
Typically, the first line of treatment for a granuloma/contact ulcer is medicinal management of reflux. Additionally, patients will be strictly instructed to cease any throat clearing or coughing in order to decrease further irritation of the lesion. Voice therapy may also be beneficial. Voice therapy can help improve voicing patterns to decrease pressure on the posterior portion of the larynx, allowing for healing of the lesion.
How to prevent vocal cord cancer?
To help prevent vocal cord disorders caused by irritation (including laryngitis and vocal cord polyps), avoid smoking, drinking or inhaling chemical irritants. To help prevent vocal cord cancer, quit smoking and limit your consumption of alcoholic beverages.
How to prevent vocal abuse?
To help prevent disorders caused by vocal abuse (including laryngitis, vocal cord nodes and polyps, and contact ulcers), you need to learn how to talk without straining your vocal cords. A voice therapist can teach you how to do this.
What are Vocal Cord Disorders?
Like other tissues in the body, vocal cords can be strained and damaged. Vocal cords are also subject to infections, tumors and trauma.
How long do vocal cord nodules last?
Vocal cord nodules – If you don't do anything to change your vocal cord abuse, nodules can last a lifetime. They can even come back after they are surgically removed. With proper voice training with a certified therapist, nodules can disappear within six to 12 weeks.
Why is it so hard to breathe with vocal cord paralysis?
If both vocal cords are paralyzed and remain in the closed position , breathing can be difficult. Vocal cord paresis and paralysis can have several causes, including: Surgical trauma, most often from thyroid surgery, but also from any neck or chest surgery. Head or neck trauma. Trauma during birth.
How is a vocal cord tube inserted?
The tube is inserted through the nose to the larynx. You will need to make certain sounds so your doctor can see your vocal cords in action. The examination may be videotaped so your doctor can analyze it later. This is all that is needed to diagnose most cases of laryngitis, vocal cord nodules and polyps.
What is the name of the test for cancer of the larynx?
Cancer of the larynx can look similar to a noncancerous growth or a contact ulcer. If an abnormality is found on the vocal cords, your doctor may do a biopsy. A biopsy involves removing a tiny sample of the affected vocal cord tissue so it can be examined in a laboratory.
How to heal vocal cords?
Get plenty of sleep. Sleep also enables your vocal cords to rest and heal. Therefore, make sure you are getting at least seven hours of sleep each night while they are healing. If you are taking a day or two off from work or school to rest your vocal cords, try not to go to bed too late.
What to do if you have nodules on your vocal cords?
For severe cases, your doctor may prescribe surgery to fix the issue, especially if you have nodules on your vocal cords. Amy Chapman MA, CCC-SLP is a vocal therapist and singing voice specialist.
How to rest your voice?
To rest your voice you must avoid any kind of speaking, as well as activities that may strain your vocal cords like strenuous exercise and heavy lifting. Write things down if you need to communicate to others. If you must talk, then take a 10-minute break for every 20 minutes of talking.
What herbs help with throat pain?
Herbs that are known to help sooth and heal your throat and vocal cords are cayenne pepper, licorice, marshmallow, propolis, sage, slippery elm and turmeric.
What to do if voice therapy is not working?
Get surgery. If voice therapy and/or bulk injections do not improve your situation, then your doctor may suggest surgery. Surgery may consist of structural implants (thyroplasty), the repositioning of your vocal cords, nerve replacement (reinnervations), or a tracheotomy.
Can you substitute whispering for talking?
Do not substitute whispering for talking. Whispering actually places more strain on your vocal cords than regular talking.
Can you smoke while your vocal cords are healing?
Try to avoid smoking while your vocal cords are healing.
What causes vocal cord ulcers?
excessive vomiting. Vocal cord ulcers (also called granulomas) can be caused by: irritation from excess talking or singing. gastric reflux. repeated upper respiratory infections. an endotracheal tube placed in your throat to help you breathe during surgery.
What to do for throat ulcers?
Vocal cord ulcers are treated by: To relieve the pain from throat sores, you can also try these home treatments: Avoid spicy, hot, and acidic foods.
How long does it take for a throat ulcer to heal?
Your outlook depends on what condition caused the throat ulcers and how it was treated. Esophageal ulcers should heal within a few weeks. Taking medicines to reduce stomach acid can speed healing. Throat ulcers caused by chemotherapy should heal once you finish cancer treatment.
How to relieve sore throat?
To relieve the pain from throat sores, you can also try these home treatments: Avoid spicy, hot, and acidic foods. These foods can irritate the sores even more. Avoid medicines that can irritate your throat, such as aspirin (Bufferin), ibuprofen (Advil, Motrin IB), and alendronic acid (Fosamax).
What causes ulcers in the throat?
Throat ulcers can be caused by: chemotherapy and radiation treatment for cancer. infection with yeast, bacteria, or a virus. oropharyngeal cancer, which is cancer in the part of your throat that’s right behind your mouth. herpangina, a viral illness in children that causes sores to form in their mouth and back of their throat.
How to get rid of sore throat from a cold?
Drink cold fluids or suck on something cold, like ice chips or a popsicle, to soothe the sores. Drink extra fluids, especially water, throughout the day. Ask your doctor whether you should use a numbing rinse or medicine to relieve throat pain. Gargle with warm salt water or a mixture of salt, water, and baking soda.
How to prevent throat sores?
Other causes may be more preventable. Reduce your risk for infection: Maintain good hygiene by washing your hands often throughout the day — especially before you eat and after you use the bathroom.
Where do vocal contact ulcers appear?
Like ulcers in other parts of the body, vocal contact ulcers appear like sores. They appear near the larynx cartilage and can be painful.
What kind of doctor can help with vocal cords?
After seeing your doctor for concerns related to your voice and vocal cords, they may recommend seeking the support of a licensed speech pathologist. It’s important to note that not every speech pathologist specializes in voice therapy.
How do you know if you have been abused by your vocal cords?
Symptoms of Vocal Cord Abuse. It’s common for the symptoms of vocal cord abuse to go unnoticed. Many of these symptoms are similar to having a cold or cough. Some come and go whereas others are more persistent. Here are the ten most common vocal cord abuse symptoms: Neck pain. Pain in ears. Body and voice fatigue.
How long does it take to get hoarseness after vocal abuse?
Disorders of Vocal Abuse. If you’re still experiencing hoarseness and other symptoms after two weeks , see your physician. Your doctor will perform an exam on your throat. Ideally, they’ll refer you to an otolaryngologist who specializes in throat disorders.
Why is it important to learn to treat your voice?
It’s important to learn how to treat your voice well and prevent vocal cord abuse . If you or a loved one is experiencing communication challenges due to vocal cord abuse, don’t hesitate to get the professional help you need.
How long does it take for vocal cords to disappear?
You may notice that some of these symptoms appear after a long day of vocal work. If you rest for a couple of days and the symptoms disappear, you’ve likely misused your vocal cords. But, if the symptoms persist for days, weeks, or longer, you should see a throat specialist and doctor.
Why do people have contact ulcers?
This disorder is less common than the other three mentioned above. Usually, contact ulcers develop when the vocal folds are aggressively pushed together . These people tend to use too much force when they speak, perhaps shouting or yelling often.
How to stop acid reflux from irritating vocal folds?
Treatment for laryngopharyngeal reflux typically involves the use of medications that decrease the amount of acid released by the stomach (proton-pump inhibitors) and concurrent lifestyle precautions against reflux. (For more information, see Reflux Laryngitis.)
How to treat vocal fold granulomas?
Physicians have recently begun using a medical formulation of botulinum toxin, type A to treat vocal fold granulomas caused by overly forceful contact from vocal misuse or overuse. Botulinum toxin, type A, is injected into the muscle of the vocal fold to temporarily limit its mobility and thus decrease injury from forceful contact of vocal folds during voice misuse. This then leads to a decrease in irritation and inflammation allowing the granuloma to heal, as well as prevent new granuloma formation. Since the effects of botulinum toxin, type A injections are short-lasting (three to five months), they sometimes must be performed several times to achieve a desired result.
What causes granuloma in the voice box?
In particular, granulomas caused by backflow of stomach fluids to the voice box (laryngopharyngeal reflux or LPR) or by trauma from forceful contact of vocal folds during vocal misuse or overuse, respond favorably to non-surgical therapy, described in the table below. Treating the Underlying Causes of Granuloma. Type.
What is the first line of treatment for granuloma?
1. First Line Treatment of Underlying Cause (s) A variety of irritants or traumas to the larynx can result in a granuloma. Fortunately, many of the causes of granuloma can be successfully treated by removing the source of the irritation.
When is vocal fold growth required?
Any type of vocal fold growth or lesion requires active intervention when it causes progressive or persistent symptoms. Intervention is especially required when a possibility of cancer exists. If cancer has been ruled out and identification of a vocal fold granuloma is made, a treatment plan consisting of two basic parts is begun.
What is the mass on the vocal folds?
Vocal Folds. Also known as vocal cords; a pair of muscular ligaments in the voice box (larynx) which vibrate to produce sound.
Can vocal fold granuloma recur?
Even if the vocal fold granuloma is removed completely by surgery, granuloma formation will recur if the underlying cause (s) are not treated. Aggressive surgery can further disturb the vocal folds or the arytenoid cartilages, predisposing patients to a recurrence of granulomas.
