Vocal fold nodules, which can be successfully treated with voice therapy, are among the most common vocal fold lesions that cause hoarseness in adults and children. Vocal fold nodules are where mucosal contact is strongest; They occur at the junction of the front and middle 1/3 parts of the vocal folds.
In patients with vocal fold nodules, the voice is hoarse, rough, cloudy, and decreases in intensity during phonation due to air leakage.
Usually vocal. Nodule is more common in men in children and in young women in adults. The reason why it is observed more frequently in adult women is; In women, the length of the vibrating part of the vocal folds is shorter and the impact stress at the midpoint of the membranous part is higher. In addition, the incidence of vocal nodules is higher in people who talk a lot in public and perform their profession with their voice, such as teachers, lawyers, voice artists, actors, and call center workers, compared to other professional groups.
The size of the nodules is the size of a pea from the head of a pin. It can be observed in varying degrees of size. Nodules are pinkish, small and edematous in the early period. Chronic nodules are typically white in color. However, the flexibility of the vocal folds (vocal folds) decreased and the amplitude of the voice decreased.
There are many studies in the literature examining the factors that may cause the formation of vocal fold nodule.
Incorrect or excessive use of the voice usually causes the nodule. Although it is considered the main cause of nodule formation, behaviors such as chronic cough or excessive throat clearing are also effective in nodule formation. After nodule formation, continuing inappropriate vocal behaviors may aggravate the situation. For example, if the closure between the vocal folds is not complete during phonation, there may be a significant attempt to compensate for the glottic opening by closing the ventricular vocal folds (pseudovocal folds) or sphincteric constriction, resulting in excessive airflow.
All of these may occur. Many studies in the literature show that other factors such as lack of adequate hydration, laryngopharyngeal reflux, smoking and stress may also be effective in nodule formation. It was reported in the trial.
In line with all these factors; Vocal nodules can be treated by ensuring vocal hygiene, acquiring appropriate habits and voice therapy.
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