Treatment
Vocal fold cysts are treated using a multidisciplinary approach. Vocal fold cysts are most responsive when surgical intervention is supplemented with voice therapy. Applying vocal therapy techniques in isolation has not yet been proven to remediate and decrease the actual size of the vocal fold cyst.Voice therapy to address harmful vocal behaviours is recommended as the first treatment option. Voice therapy may involve reducing tension in the larynx, reducing loudness, reducing the amount of speech produced, and modifying the environment. If symptoms are significant, treatment usually involves microsurgery to remove the cyst. Although voice therapy is useful for preventing vocal fold cysts caused by phonotrauma and for promoting safe vocal practices, vocal fold cysts tend not to respond to therapy alone and typically require surgery for full repair.During surgery, attempts are made to preserve as much vocal fold tissue as possible, given that glottal insufficiency (a gap in the vocal folds) is a possible consequence of surgery. Vocal fold tissue can be preserved during surgery by raising a micro-flap, removing the cyst, then laying the flap back down. This is intended to lead to minimal scarring and improved voice function. However, if any epithelium from the cyst sac is left behind during surgery, the cyst may regrow. Surgery of the larynx may also be conducted using a CO2 laser, which was reported as early as the 1970s. Congenital ductal cysts (those caused by blockage of a glandular duct) may be treated by marsupialization.Following surgery, patients are recommended to take 2 to 14 days of vocal rest.
Sleep problems; people may still feel weary after full nights of sleep, or may struggle to stay awake, fall asleep or stay asleep.Additionally, one of the following symptoms must be present:
Problems with thinking and memory (cognitive dysfunction, sometimes described as "brain fog")
While standing or sitting upright; lightheadedness, dizziness, weakness, fainting or vision changes may occur (orthostatic intolerance)

Other common symptoms
Many, but not all people with ME/CFS report:
Muscle pain, joint pain without swelling or redness, and headache
Tender lymph nodes in the neck or armpits
Sore throat
Irritable bowel syndrome
Chills and night sweats
Allergies and sensitivities to foods, odors, chemicals, lights, or noise
Shortness of breath
Irregular heartbeatIncreased sensitivity to sensory stimuli and pain have also been observed in CFS.The CDC recommends that people with symptoms of CFS consult a physician to rule out other illnesses, which may be treatable. Onset
The onset of CFS may be gradual or sudden. When it begins suddenly, it often follows a period of infectious-like symptoms or a known infection, and between 20 and 80% of patients report an onset resembling an infection. : 158  When gradual, the illness may begin over the course of months or years. Studies disagree as to which pattern is more common. : 158 : 181  CFS may also occur after physical trauma such as a car accident or surgery. Physical functioning
The functional capacity of individuals with CFS varies greatly. Some persons with mild CFS lead relatively normal lives with vigilant energy management; persons that are severely ill may be totally bed-ridden and unable to care for themselves.