Nodules are benign masses on the vocal fold tissue of various sizes.
Triggered By
- Chronic laryngitis
- Vocal fold minimal lesions
- Gastrooesophagyeal reflux
- Laryngopharyngeal reflux
- Gastritis
- the presence of Helicobacter pylori
Symptoms
- Vocal hoarseness
- Difficulty in using the voice
- Aching and pain while speaking
- Recieved postural changes
- Vocal aging
Ethiology
- Vocal misused
- Overuse
- Phonatory Trauma
- Muscle Tension Patterns
Underlying Factors
- Age (Women tend to suffer from nodules later in their lives. In case of children, analyzing the
behaviour of them provides an effective approach in their voice assessment)
- Gender
- Occupation (smoking habits, teaching level and prior training in speech disorders and their
prevention, in case of teachers. The younger female teachers are more likely to suffer from
functional dysphonia due to the presence of a vocal fold nodule than male teachers)
- Personality Traits
- Size of the nodule
Assessment Method
- Range of Voice
- Maximum Phonation Time
- Mean Air-Flow Rate
- Acoustic Analysis (jitter & shimmer)
- Dysphonia Severity Index (RBH)
Treatment
The treatment is determined after a stroboscopic examination and acoustic analysis.
Voice therapy is highly effective in treating the nodules, improving the voice, quality of phonation and
more importantly provides relief from habitual muscle tension patterns.
While the surgery provides a complete healing of the vocal fold tissue the patient generally requires
post-operative voice therapies in order to prevent the recurring of nodules due to the habitual muscle
tension patterns.