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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]
Reinke's edema is the swelling of the vocal cords due to fluid collected within the Reinke's space. [2] First identified by the German anatomist Friedrich B. Reinke in 1895, the Reinke's space is a gelatinous layer of the vocal cord located underneath the outer cells of the vocal cord.
Ligament vocal fold cysts- located within the deeper layers of the lamina propria or on the vocal ligament. [1] The symptoms of vocal fold cysts vary but most commonly include a hoarse voice and problems with the pitch of the voice. Vocal fold cysts are diagnosed based on gathering a case history, perceptual examination, and laryngeal imaging. [3]
Vocal fold lesions such as a vocal fold nodule or other changes in the vocal fold mucosa can lead to increased tension in the larynx and cause dysphonia. [2] Larynogopharyngeal reflux, a process that is similar to GERD, can bring stomach acid into the larynx. This can provoke the larynx to tense to prevent the aspiration of the acid. [3]
There are two common causes associated with contact granulomas; the first common cause is sustained periods of increased pressure on the vocal folds, and is commonly seen in people who use their voice excessively, such as singers (John Mayer, for example). [4] Treatment typically includes voice therapy and changes to lifestyle factors.
Vocal cord dysfunction (VCD) is a condition affecting the vocal cords. [1] It is characterized by abnormal closure of the vocal folds, which can result in significant difficulties and distress during breathing, particularly during inhalation. [1] Due to the similarity in symptoms, VCD attacks are often mistaken for asthma attacks or laryngospasms.
Invasive treatment may require the removal of lesions, nodules, or masses on the vocal cords if visualized during diagnostic imaging. If the disorder is found to be nerve related through electromyography the nerve in question may need to be replaced or the vocal cords can be pushed together with a bulk injection or thyroplasty .
Most polyps are larger than nodules, which are more similar to callouses on the vocal folds. Polyps and nodules can exhibit similar symptoms including hoarseness or breathiness, "rough" or "scratchy" voice, harshness in vocal quality, shooting pain from ear to ear, sensation of having "a lump in the back of the throat", neck pain, decreased ...