- Vocal fold nodules are caused by vocal trauma (particularly phonotrauma) e.g. excessive singing/shouting/screaming or even talking
- A change in voice- usually hoarseness
- painful speech (dysphonia)
- If the patient is a singer, they may report a rduced range and complain of vocal breaks too
- Nodules will be seen at the junction of the anterior 1/3 and posterior 2/3 of the cords (middle of the membranous vocal folds
- If they are caught early/symptoms are not too severe- speech therapy and education may be all that’s indicated.
- If they are large/very symptomatic- surgical removal can be done (NB if the patient is a professional singer, warning about the potential risks of surgery- e.g. reduced range/sustainability- should be discussed)