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ENT · Larynx: vocal polyp
Sample itemA 45-year-old smoker has a unilateral pedunculated smooth swelling on the anterior vocal cord and hoarseness. Which is the best treatment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Microlaryngoscopic excision
A unilateral vocal polyp is excised by microlaryngoscopy with preservation of the vocal ligament and the tissue is sent for histology. Voice rest and cessation of smoking supplement treatment.
Option by option
A. Microlaryngoscopic excision (correct)
Correct. Microlaryngeal excision is standard.
B. Tracheostomy
Tracheostomy is not required.
C. Voice therapy only
Therapy alone is not enough for a well-formed polyp.
D. Radiotherapy
Radiotherapy is not indicated for a benign polyp.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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