Vocal fold nodules are symmetrical free edge swelling typically located at the junction between anterior 1/3rd to posterior 2/3rd of the vocal fold. It is associated with phonotrauma caused by voice misuse, overuse, or abuse. Speech therapy is the preferred management for early/soft nodules with microlaryngeal surgery reserved for more mature/fibrous nodules. In some,early surgical intervention is justified.
Hourglass appearance of glottic aperture upon phonation in vocal fold nodules.
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Before Surgery After Surgery
Image on the left also shows evidence of subcordal oedema which is one
of the finding strongly suggestive of laryngopharyngeal reflux disease.
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