Vocal Cord Nodules

Vocal cord nodules or vocal fold nodules are benign growths that develop on the vocal cords. They can be as large as a pea or as small as a pinhead. These growths result from straining or overusing the voice, especially from singing, yelling, or talking loudly or for extended periods. They are particularly common among singers, teachers, and those who use their voices extensively in their daily activities. 

What Causes Vocal Cord Nodules?

Vocal cord nodules develop due to repeated trauma or irritation to the vocal cords. This trauma can result from various activities, such as:

• Singing
• Talking loudly or for extended periods
• Yelling or screaming
• Clearing the throat frequently

Overuse isn’t the only reason why people get vocal nodules. A few more causes are:

·      Smoking

·      Sinusitis

·      Regular alcohol use

·      Allergies

·      Adverse effects of medicine

·      Tensing your muscles while talking

·      Hypothyroidism

What are the Symptoms of Vocal Cord Nodules?

The most common sign of vocal cord nodules is a raspy, hoarse voice. When your youngster speaks or sings, you may see straining and pitch changes. Pain or discomfort while speaking or singing is also common. Other symptoms include:

• Reduced vocal range
• Pitch changes
• A sensation of a lump in the throat
• Tiredness or fatigue in the voice after speaking or singing
• Vocal breaks

Diagnosis and Testing

The following methods are used to identify vocal cord nodules:

·      Laryngoscopy: A doctor will insert a spaghetti-like camera into your child’s nose and throat. This permits us to examine your child’s voice box or larynx.

·      Stroboscopy: It is a procedure where a small, flexible camera is inserted through the nose to observe the area above the vocal cords. It helps assess the movement and vibration of your child’s vocal cords, especially when there are concerns about their voice pitch, strength, and quality.

Do Vocal Cord Nodules Go Away?

Vocal cord nodules often go away when you rest your voice or do voice therapy. However, if left untreated, they can become larger and more problematic. In severe cases, nodules may not disappear entirely, and some people may develop new nodules if they continue to overuse or misuse their voice. 

How are Vocal Cord Nodules Treated?

Treatment options for vocal cord issues vary from conservative approaches to more invasive procedures.

·      Voice therapy: Voice therapy teaches you how to use your voice chords so that they heal. It can also teach you how to avoid future lesions or vocal damage.

·      Behavioral modifications: Lifestyle changes can complement voice therapy and alleviate symptoms. This includes managing stress, quitting smoking, and improving diet.

·      Addressing underlying medical issues: Treating conditions like reflux, allergies, or sinusitis that contribute to vocal cord inflammation can help heal lesions and reduce symptoms.

·      Surgery: In cases where voice therapy is ineffective, surgery may be necessary. While these conditions may not improve with therapy alone, post-surgery voice therapy can reduce the risk of further complications.

Can vocal cord nodules be prevented?

To prevent vocal cord nodules, it is essential to avoid activities that strain or overuse your voice. This includes:

• Avoid yelling or screaming.
• Using a microphone when speaking to large groups.
• Taking breaks when speaking or singing for extended periods.
• Avoiding smoking and secondhand smoke.
• Staying hydrated by drinking plenty of water.
• Practicing good vocal hygiene like practicing proper breathing techniques and avoiding clearing your throat. 

Vocal cord nodules are growths that develop on the vocal cords due to overuse or misuse. Symptoms include pain, hoarseness, and reduced vocal range. 

If you experience symptoms of vocal cord nodules, consult your healthcare provider for evaluation and appropriate management.