Vocal fold nodule

Question 1

Define vocal fold nodule.

Answer 1

A benign lesion that is caused by frequent microtrauma to the vocal cords which leads to oedematous swelling and the development of fibrotic scars

Question 2

What are the clinical features of vocal fold nodules?

Answer 2

• Low-pitched, whispery voice
• Hoarseness
• Altered vocal range

Question 3

What is typically seen on laryngoscopy in vocal cord nodules?

Answer 3

• Bilateral lesions at the junction of the anterior 1/3 and posterior 2/3 of the vocal folds
• Symmetric, pinhead-sized, pale nodules
• Variable colour, contour, and/or shape

Question 4

What is the management for vocal fold nodules?

Answer 4

• Conservative management (voice rest, smoking cessation, treat GORD)
• Microsurgical removal