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Vocal Nodules: Causes, Symptoms, and Treatment Options in Thrissur - Expert Care by Dr. Salison Salim Panicker

Vocal cord nodules, also known as singer's nodules, are benign (non-cancerous) growths that form on the vocal cords, usually due to prolonged vocal strain or misuse. These small, callus-like lumps typically develop on the middle section of the vocal cords, where they come into contact with each other most often during speaking or singing. Over time, the repeated friction can cause the formation of these nodules, leading to changes in the voice.

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Causes of Vocal Cord Nodules

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The primary cause of vocal cord nodules is vocal abuse or misuse, often due to behaviors that put excessive strain on the voice. Common causes include:

  • Excessive Talking or Singing: Long periods of speaking loudly, singing without proper technique, or speaking in noisy environments.

  • Shouting: Frequently raising your voice in noisy environments, such as at concerts, sports events, or loud workplaces.

  • Vocal Fry: Habitual use of low, gravelly voices that involve excessive tension in the vocal cords.

  • Improper Breathing: Using shallow chest breathing instead of diaphragmatic breathing can lead to unnecessary strain on the vocal cords.

  • Smoking or Exposure to Irritants: Smoking, alcohol, and environmental irritants can exacerbate damage to the vocal cords.

Vocal cord nodules are more common in teachers, singers, public speakers, and anyone who uses their voice intensively.

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Symptoms of Vocal Cord Nodules

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Vocal cord nodules can affect the quality and range of your voice. Common symptoms include:

  • Hoarseness: A raspy, breathy, or rough voice.

  • Vocal Fatigue: The voice may become tired or strained after prolonged use.

  • Reduced Pitch Range: Difficulty reaching high or low pitches.

  • Breathy Voice: A feeling of airiness when speaking or singing.

  • Throat Clearing: The need to frequently clear the throat to ease discomfort or improve voice quality.

  • Voice Breaks: The voice may break or crack unexpectedly during speech or singing.

If you experience any of these symptoms, it’s important to seek medical attention to prevent worsening of the condition.

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Diagnosis of Vocal Cord Nodules

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At our ENT Centre in Kolazhy, Thrissur, vocal cord nodules are diagnosed through a comprehensive voice evaluation, including:

  • Laryngoscopy: A visual examination of the vocal cords using a flexible scope. This allows the doctor to directly observe any growths or irregularities in the vocal cords.

  • Voice Assessment: A detailed evaluation of your voice, including pitch, resonance, and breath control, performed by a speech-language pathologist.

A thorough examination helps confirm the presence of nodules and rule out other conditions, such as polyps or cysts, that may cause similar symptoms.

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                             Vocal Cord Nodule in a Professional singer

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Treatment for Vocal Cord Nodules

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Treatment for vocal cord nodules is aimed at reducing vocal strain, promoting healing, and improving vocal technique. It typically involves a combination of non-surgical and, in some cases, surgical options:

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1. Voice Therapy

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The first line of treatment for vocal cord nodules is voice therapy with a speech-language pathologist. Voice therapy helps to:

  • Reduce strain: Teach proper breathing techniques, posture, and vocal habits to minimize stress on the vocal cords.

  • Restore vocal function: Learn exercises that improve vocal quality, breath control, and efficiency.

  • Modify vocal habits: Address any habits that contribute to vocal misuse or overuse.

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2. Vocal Rest and Hygiene

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Taking time to rest the voice is crucial for healing. This means limiting vocal use, avoiding shouting, and practicing vocal hygiene (e.g., staying hydrated, avoiding irritants like smoking).

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3. Medication

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In cases where inflammation is present, your doctor may prescribe anti-inflammatory medications or corticosteroid injections to reduce swelling and promote healing.

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4. Surgical Intervention

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In rare cases where nodules are large or do not respond to voice therapy, surgical removal of the nodules may be considered. This is usually performed through microlaryngoscopy, a minimally invasive procedure using a laser or other surgical tools. Post-surgery, voice therapy is often recommended to restore normal vocal function.

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Preventing Vocal Cord Nodules

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To prevent the recurrence of vocal cord nodules or to avoid developing them in the first place, consider the following:

  • Practice proper vocal technique: Sing or speak using proper breath support and posture.

  • Warm-up your voice: Always warm up your vocal cords before extended speaking or singing.

  • Avoid vocal strain: Limit shouting, whispering, or speaking at high volumes for prolonged periods.

  • Stay hydrated: Drink plenty of water to keep your vocal cords moist and functioning properly.

  • Rest your voice: If you feel hoarseness or vocal fatigue, allow your vocal cords to rest.

  • Avoid irritants: Minimize exposure to smoke, chemicals, or allergens that can irritate your vocal cords.

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Why Choose Us?

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At our ENT Centre in Kolazhy, Thrissur, led by Dr. Salison Salim, we offer comprehensive care for vocal cord nodules, from diagnosis to treatment. Our clinic is equipped with state-of-the-art endoscopic tools and a team of specialists dedicated to providing the best possible care for your voice.

 

If you’re experiencing hoarseness, vocal fatigue, or other symptoms of vocal cord nodules, schedule an appointment today for an accurate diagnosis and personalized treatment plan.

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