Impact on Voice:
Development:
Vocal abuse and misuse cause the vocal cords to close with excessive force. This may result in the formation of vocal nodules at the point of maximum contact. As the nodules begin to form, a slight reddening can be noted on the margin of the cord. This reddening is soon followed by a localized swelling or thickening on the edge of the cord. Finally, a definite nodule or bump develops and becomes harder and more fibrotic with time.
How Do They Appear?
Nodules are symmetric or nearly symmetric mid-vocal fold masses. They may vary in size from patient to patient. They are broad-based and resemble a mound of tissue that stands out from the edge of the fold. Nodules do not grow dramatically over the short-term, although they may swell with repeated trauma from voice use.
Effects on the Voice
Nodules generally cause painless hoarseness. The hoarseness results from irregularities in vocal fold closure as well as irregularities in vibration, both the result of the bulk of the nodules. The hoarseness of nodules typically worsens with voice use, or during a cold or sore throat and improves with voice rest. Individuals with vocal fold nodules typically find their voice worse after cheering at a game, or an evening out with friends, or a strenuous vocal performance. The most common symptom of the presence of nodules is the breathy and hoarse quality of the voice. If you have pain, you should consult your throat doctor immediately.
Patients with nodules, polyps, and cysts may complain of the following:
- Hoarseness
- Effort or strain with speaking
- Breathiness
- Voice breaks
- Vocal fatigue
- Raspy voice
Interview: Real Life Sample of Singer with Vocal Nodules