vocal cord nodules

Thursday 23-10-2008 8.25pm

I went to a ENT specialist @ Mount Elizabeth Hospital last Sat. My ENT specialist who is an expert in voice disorder, diagnosed me with vocal cord nodules.

What are vocal cord nodules?
Vocal cord nodules are callous-like bumps on the vocal cords. They can form on one or both of the cords. They usually are located on the front 1/3 of the vocal cord, and range in size from a pinhead to a split pea. During normal speech, the vocal cords should press firmly together. However, if nodules are present the cords cannot close completely. Therefore, extra air escapes and the voice sounds hoarse and breathy as a result.

What causes vocal cord nodules?
Any one or more of the following can contribute to the development of vocal cord nodules:
1) Misuse of the voice
The use of an incorrect pitch, volume, or quality
Inadequate breath support
Excessive tension in the neck muscles when speaking
2) Abuse of the voice
Excessive shouting, screaming cheering or crying
Strained vocalizations (for example, sounds used to imitate animal noises or motors)
Excessive loud talking
Hard vocal attacks (starting words abruptly)
Excessive coughing or throat clearing
3) Other factors
Chronic (long standing) upper respiratory infections or allergies
Exposure to smoking
Reflux (stomach acid coming up the swallowing tube)
Endocrine or Hormonal imbalance
Fatigue
Allergies
Personality or general adjustment of the person

How do vocal cord nodules develop?
Vocal abuse and misuse cause the vocal cords to close with excessive force (i.e. bang together). This may result in the formation of vocal nodules at the point of maximum contact. As the nodules begin to form, a slight reddening can be noted on the margin of the cord. This reddening is soon followed by a localized swelling or thickening on the edge of the cord. Finally, a definite nodule or bump develops and becomes harder and more fibrotic with time, just like a callous can form on your hand if you use a shovel without gloves.

Thus I had to go for voice therapy during the sch holidays. I hope that will help and I really wish that my voice will be back to it's original form soon but at the rate that the children behave.....haiz....I think my voice will only get worst........trying not to shout in class but YES!!!! it is very difficult........kids are really naughty rascals...............and they DO NOT LISTEN!!! Occupational Hazard.............it really is as according to the doctor is a common problem in teachers.........haiz.......this is what I get in return for my passion...............What can I do..............the doctor says for this problem to heal, other than the therapy class, a lot depends on the patient themselves.

Oh yes, my DPT course is starting soon.....looking forward to it but at the same time a bit worried about coping with work and course.........just can only say I will do my best and take one step at a time.