VOCAL-CORD NODULES

General Information

DEFINITION--Non-malignant overgrowths of tissue on the vocal cords.

BODY PARTS INVOLVED--Larynx (voicebox).

SEX OR AGE MOST AFFECTED--Adults of both sexes.

SIGNS & SYMPTOMS--Persistent hoarseness without pain.

CAUSES--Continued overuse of the voice by singing, shouting, yelling, lecturing or other forms of talking too loudly or too much.

RISK INCREASES WITH

• Smoking.
• Vocal performers or public speakers, such as professional singers, teachers, ministers or auctioneers.

HOW TO PREVENT

• Use voice amplification, such as a microphone or megaphone, when performing or speaking.
• Take voice or speech lessons to learn to make your voice carry with less effort.
• Ask others to remind you when you get overexcited, especially in activities such as sporting events, so you can lower your voice.
• Don't smoke.

What To Expect

DIAGNOSTIC MEASURES--

• Your own observation of symptoms.
• Medical history and physical exam by a doctor, usually an ear, nose and throat specialist.
• Diagnosis may include a biopsy (See Glossary) of the node to rule out cancer.

APPROPRIATE HEALTH CARE

• Self-care after diagnosis.
• Doctor's treatment.
• Surgery to remove nodules (usually).

POSSIBLE COMPLICATIONS

• Without treatment, permanent hoarseness or voice alteration.
• Failure to diagnose larynx cancer, which also begins with hoarseness.

PROBABLE OUTCOME--Curable with a simple surgical procedure.

How To Treat

GENERAL MEASURES--

• Nodules may disappear if the voice is rested for several months. If you choose this treatment rather than surgery, speak in a whisper or write notes.
• Don't smoke, and avoid smoky environments.

MEDICATION--After surgery:

• Your doctor may prescribe antibiotics to prevent infection.
• You may take mild non-prescription pain relievers, if necessary, such as acetaminophen or aspirin.

ACTIVITY--Don't use your voice after surgery until your doctor determines that healing is complete.

DIET--No special diet.

Call Your Doctor If

You are hoarse for more than 2 weeks.