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Treatment of vocal fold nodules usually involves behavioural intervention therapy administered by a speech–language pathologist. In severe cases, surgery to remove the lesions is recommended for best prognosis. [8] [9] In children, vocal fold nodules are more common in males; in adults, they are more common in females. [10] [5]
Vocal nodules are caused over time by repeated abuse of the vocal cords which results in soft, swollen spots on each vocal cord. [24] These spots develop into harder, callous-like growths called nodules. The longer the abuse occurs the larger and stiffer the nodules will become.
The human vocal cords are roughly 12 – 24 mm in length, and 3–5 mm thick. [9] Histologically, the human vocal cords are a laminated structure composed of five different layers. The vocalis muscle, main body of the vocal cords, is covered by the mucosa, which consists of the epithelium and the lamina propria. [10]
The two types of vocal fold cysts (sub-epithelial and ligament cysts) can be differentiated by colour, size and location. [2] [14] (See section on Types of vocal cord cysts for more information.) If the vocal fold cyst(s) are presumed to be congenital, the patient should have a history of presenting with a hoarse voice. [9]
Vocal fold nodules; Vocal fold cysts; Vocal cord paresis; Reinke's edema; Spasmodic dysphonia; Foreign accent syndrome; Bogart–Bacall syndrome; Laryngeal ...
Laryngologists treat disorders of the larynx, including diseases that affects the voice, swallowing, or upper airway. Common conditions addressed by laryngologists include vocal fold nodules and cysts, laryngeal cancer, spasmodic dysphonia, laryngopharyngeal reflux, papillomas, and voice misuse/abuse/overuse syndromes.
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