If they keep returning, scar tissue may develop on the vocal cords. The doctor will examine your vocal cords with a viewing instrument or with mirrors. If you have leukoplakia, the doctor may want you to have a biopsy of the white patches. For a biopsy the doctor will take a sample of tissue from the patches and examine the tissue under a microscope to learn more about the patches. The doctor will advise you to change the way you use your voice and may refer you to a speech therapist.
Some growths require surgical removal.
The doctor will give you an anesthetic before the procedure. Leukoplakia require a special test to determine whether cancer is present. The doctor will advise you to stop smoking immediately and rest your voice. Contact ulcers are treated with measures to reduce vocal strain and with medications. Also, the doctor may recommend that you raise the head of your bed when you sleep.