Vocal-cord Nodules

Vocal-cord nodules (singer's/teacher's nodules) are benign bilateral callosities at the junction of anterior/middle third of vocal cords, caused by chronic voice overuse, presenting with hoarseness, voice fatigue, and pitch breaks. Treatment: voice therapy (first-line); treat LPR/GERD; voice rest; avoid yelling/smoking; surgical microlaryngoscopic removal only if refractory after adequate voice therapy; vocal rest post-op; behavioral voice-care training.

Common Symptoms

Hoarseness; voice fatigue; pitch breaks; bilateral mid-membranous nodules

Causes and Pathogenesis

Chronic voice overuse causes traumatic vocal-cord lesions and reactive nodules.

Treatment

Voice therapy (first-line); treat reflux; voice rest; surgery only if refractory

Preventive Measures

Voice hygiene; hydration; avoid yelling/smoking; treat reflux.

Department to Visit

It is recommended to visit the ENT/Voice/Logopedics department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.