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Vocal Nodule
DR MANZOOR HUSSAIN NAREJO
Vocal Nodules Def:
 It is the condition which occurs in persons who
use their voice excessively with straining or faulty
production.
 It is also called singer’s node or screamer’s node
 Small nodular thickening are present on the true
vocal cord on both sides.
Vocal Cord
 These are two pearly
white sharp bands
extending from the
middle of thyroid angle
to the vocal process of
arytenoids
 Each vocal cord consist
of vocal ligament
covered by closely bound
mucous membrane with
scanty subepithelial
connective tissue
Vocal Nodules
 It is non neoplastic benign tumor of larynx.
 It occur at free edge of cord
 Size: Pin of head or half pea
 It occurs at the junction of anterior 1/3rd with the posterior
2/3rd of cord
 Formed due to person speaks unnatural
 It occurs bilaterally and greyish white in color
Vocal Nodule
Pathology
 When person speaks in unnatural low tone for prolong
periods or at high intensities It cause trauma to the
vocal cord
 It may cause oedema and hemorrhage in the
submucosal space this may lead to hyalinization and
fibroses
 Over lying epithelium also under goes hyperplasia
forming nodules
 It mostly affect teachers , singers, actors , hawkers
 These are also common in school going children who are
more talkative
Pathology
 It is also seen in
mothers of young
children who shouts a
lot
Clinical Features
 The Predominant symptom is hoarseness
 Vocal Fatigue
 Breathy
 Pain in the neck on prolong phonation
 Lower pitched than usual
Treatment
 Voice rest is essential
 Some may cure recent and small nodule
 Surgery is required for large nodules or long standing nodules in
adults
 Micro laryngeal surgery is done without damaging surrounding
tissues.
 Nodules can also be removed by laser surgery
 Speech therapy and re-education in voice production are essential to
prevent recurrence
Similarities b/w vocal nodule and poly
Abnormal growths along vocal cord
covering of vocal fold
Non cancerous
Causes voice problem
vocal nodule.pptx

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vocal nodule.pptx

  • 1. Vocal Nodule DR MANZOOR HUSSAIN NAREJO
  • 2. Vocal Nodules Def:  It is the condition which occurs in persons who use their voice excessively with straining or faulty production.  It is also called singer’s node or screamer’s node  Small nodular thickening are present on the true vocal cord on both sides.
  • 3. Vocal Cord  These are two pearly white sharp bands extending from the middle of thyroid angle to the vocal process of arytenoids  Each vocal cord consist of vocal ligament covered by closely bound mucous membrane with scanty subepithelial connective tissue
  • 4. Vocal Nodules  It is non neoplastic benign tumor of larynx.  It occur at free edge of cord  Size: Pin of head or half pea  It occurs at the junction of anterior 1/3rd with the posterior 2/3rd of cord  Formed due to person speaks unnatural  It occurs bilaterally and greyish white in color
  • 6. Pathology  When person speaks in unnatural low tone for prolong periods or at high intensities It cause trauma to the vocal cord  It may cause oedema and hemorrhage in the submucosal space this may lead to hyalinization and fibroses  Over lying epithelium also under goes hyperplasia forming nodules  It mostly affect teachers , singers, actors , hawkers  These are also common in school going children who are more talkative
  • 7. Pathology  It is also seen in mothers of young children who shouts a lot
  • 8. Clinical Features  The Predominant symptom is hoarseness  Vocal Fatigue  Breathy  Pain in the neck on prolong phonation  Lower pitched than usual
  • 9. Treatment  Voice rest is essential  Some may cure recent and small nodule  Surgery is required for large nodules or long standing nodules in adults  Micro laryngeal surgery is done without damaging surrounding tissues.  Nodules can also be removed by laser surgery  Speech therapy and re-education in voice production are essential to prevent recurrence
  • 10. Similarities b/w vocal nodule and poly Abnormal growths along vocal cord covering of vocal fold Non cancerous Causes voice problem