Vocal Cord Nodules

What Are Vocal Cord Nodules? 

Vocal cord nodules are calluses, or growths, that appear on the vocal folds. Usually, these appear on both sides of the vocal cords due to overuse of the voice, and generally will go away when the overuse stops.

What Causes Vocal Cord Nodules? 

While the exact cause of vocal cord nodules is not known, it is generally thought to arise from a heavy or improper use of the voice, including: 

Speaking at an improper pitch

Excessive speaking

Speaking while sick, when voice is tender

Screaming / yelling

What Are The Symptoms Of Vocal Cord Nodules? 

Signs of vocal cord nodules that may warrant a visit to an ENT, include the following: 

Hoarseness

Difficulty beginning speech

Vocal fatigue

Voice that fades in and out

Low pitch

Breathy voice

Difficulty singing or speaking without effort

Different voice quality

How Are Vocal Cord Nodules Diagnosed? 

For an accurate diagnosis of vocal cord nodules, it is important to see an ear, nose and throat specialist to do a complete evaluation of your condition. Your doctor will usually discuss your medical history and history of voice problems with you. Additionally, an ENT doctor will examine your vocal cords and possibly use laryngoscopy, or a tube-like viewing instrument that passes through a patient’s Nose or mouth and allows your doctor to see the voice box. Additionally, ENT doctors may test for other conditions that contribute to vocal cord growths/lesions. These conditions include: 

Allergies

Reflux disease

Hormonal imbalance

Medication side effects

How Are Vocal Cord Nodules Treated? 

Vocal cord lesions are commonly treated with: 

Voice therapy

Voice rest

Surgery, such as phonomicrosurgery

Treatment options will vary depending on the patient’s vocal needs as well as the degree of voice limitation resulted from the nodules. Furthermore, patients who undergo voice rest or voice therapy without seeing results may need to undergo surgery in order to improve the condition.