Vocal Cord Nodules

Vocal Cord Nodules

Polyps and nodules are commonly seen along the midportion of the membranous vocal cord. These lesions typically develop due to phonotrauma along the free edge of the vocal fold. They are often seen in singers, performers, or other voice professionals with high vocal demands.

Symptoms

There is typically a voice change associated with these lesions. Patients may have a hoarse voice and complain about a decrease in their pitch range (the upper range is often impacted). Patients may also complain about an “unpredictable voice”, vocal strain, early vocal fatigue, or occasionally neck pain.

Treatment

Management of these lesions will depend on the severity of the patient’s symptoms and their ability to meet their vocal demands in addition to the exam findings and may include voice therapy and/or surgical removal. Surgical removal of vocal cord lesions is typically done using a microscope. Surgeons need to have a special skill set to remove these lesions without causing permanent voice hoarseness.

Dr. Weidenbecher, who trained under Dr. Steven Zeitels at Harvard University, is an expert in vocal cord microsurgery and has assisted many professional vocal performers over the years. He understands the needs of a vocal performer and the fact that a high degree of surgical precision is needed to remove lesions from the vocal cord while preserving the underlying pliable tissue (called superficial lamina propria) to maintain the full vocal range. Dr. Weidenbecher will discuss all treatment options with every patient prior to deciding on the best treatment plan.

A vocal cord nodule located in the center of the membranous vocal cord impairs the complete closure of the vocal cord as the patient speaks or sings. This leads to hoarseness and inability to reach the upper range. Treatment usually consists of speech therapy and careful removal of the lesion.

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Vocal Cord Nodules