Abstract
Vocal fold polyp is general though to required surgical removal. However, a certain proportion of polyps resolve with conservative treatment. We performed a clinical, statistical review of 565 cases of vocal fold polyp referred to Tokyo Voice Center between January 2001 and December 2008. We examined patient gender, age, duration of symptoms, smoking rate, color and size of the polyp, and strategy and outcome of treatment. Compared with previous reports, polyps were more large prevalent in females than in men, and there were two peaks in female distribution. We operated 433 cases, and 94% had a good course. Of the 132 non-surgical cases, 55 (41.7%) cases experienced complete remission, 29 (22.0%) showed lesion shrinkage. Conservative treatment should be considered for patients with smaller polyps of more recent onset.