2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43
Vocal cord nodules
Vocal cord nodules are caused by overloading the vocal cords. These are benign growths of tissue, in most cases found in people with vocal professions. At first, small seals appear, over time they harden slightly and become like calluses. If the loads do not stop, then the nodules continue to grow.
Nodules are formed as a result of smoking, decreased thyroid function and are observed in women 20-50 years old. Symptoms of vocal cord nodules are hoarseness, after rest, the voice is sometimes restored, there is no pain. Strong tension causes swelling. The vocal cord nodules are arranged symmetrically, forming pairs. This is the characteristic difference between nodules and polyps, cysts or tumor formations.
The color of the nodules at the beginning of development is red and does not differ from the color of the ligaments; later the nodules become dense and white. Vocal cord nodules are diagnosed by laryngoscopy. The prerequisites for the development of such a pathology in children are frequent inflammatory processes of the upper respiratory tract, measles, laryngitis. Improper lymphatic and blood circulation, violation of trophism also affect the formation of nodules.
Often, in advanced stages, there is an acute course of inflammation and transformation into a persistent chronic disease. Treatment consists in the recommendations of a doctor - laryngologist how to reduce the load on the vocal cords and return a sonorous voice. Usually, a certain voice mode is needed, prolonged silence is useful, communication should be limited, talk quietly. The main method of treatment is voice therapy, voice control.
Treatment is not complete without anti-inflammatory drugs, it is possible to use steroid hormones to eliminate puffiness. In some cases, surgical removal of nodules on the vocal cords is required. Such a need arises when large nodules of the vocal cords appear. When removing nodules, methods of endolaryngeal microsurgery are used, endoscopic instruments are used. With their help, the lumen of the larynx is visualized, pathological foci are clearly visible.
What do we have to do?
Vocal cord nodules are also removed by laser surgery and cryosurgery. During the period of therapeutic measures, it is necessary to observe certain conditions to ensure a humid regime in the room where it is most necessary to be. After surgery on the vocal cords, recovery can be accelerated if you try not to talk a lot, quit smoking or refrain from smoking for 10-14 days.
Use humidifiers to increase the humidity in the room to reduce throat irritation. Children are not prescribed surgery until they reach adolescence. Small seals are often observed in capricious children who cry a lot. They are mainly located in the anterior and middle third of the vocal cords.
The constant tension of the voice and the trauma of the ligaments cause the initial symptoms, this is expressed by voice fatigue, hoarseness. Over time, hoarseness becomes more noticeable, in the morning after waking up these manifestations are less pronounced, more in the afternoon. In pronounced cases, the nodules grow to the size of a pinhead. The presence of nodules prevents the vocal cords from closing completely.
Because of this, the full vibration of the true vocal cords is disturbed and hoarseness occurs. The main reasons for the appearance of nodules of the vocal folds include improper singing, loud screaming, screeching. Nodules of the vocal folds are found in vocalists, teachers, actors, people of different voice-speech professions. This disease cannot be classified as a serious illness, but you should always remember that a timely visit to a specialist will help to quickly eliminate the problem and prevent the development of serious pathology. In most cases, with early diagnosis of the disease, the vocal cords are curable. Therefore, so that your voice is always loud and clear, do not postpone your visit to the doctor.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".
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