Vocal nodules overview
Vocal nodules are small, bilateral growths on the vocal folds caused by repetitive voice strain and misuse. In medical terms, 성대결절 is translated as laryngeal nodules. Early recognition allows timely treatment and helps prevent lasting voice changes. Persistent hoarseness should not be ignored.
Common among teachers, singers, call center agents, and public speakers. Even brief periods of shouting or loud talking can contribute. Dehydration and poor vocal hygiene increase the risk. Maintaining hydration and good voice habits reduces strain.
A laryngoscopic examination by an ENT or phoniatrics specialist confirms nodules. Stroboscopy may assess vocal fold vibration for precise assessment. Voice evaluation should accompany the physical exam to tailor treatment. A timely visit to a specialist improves outcomes.
Conservative options
Most cases respond to conservative management including voice therapy with a trained speech-language pathologist. Daily hydration, humidification, and vocal hygiene support healing and prevent recurrences. Patients are advised to minimize throat clearing and shouting for several weeks. Consistency matters, and skipping sessions slows progress.
Therapy focuses on relaxed throat posture and balanced breath support. It helps restore efficient vocal fold closure without excessive effort. Most mild nodules improve within 6 to 12 weeks with consistent practice. Sometimes therapy requires adapting exercises to voice type.
If there is no significant improvement after months, surgical removal may be considered. Surgery involves microlaryngoscopic excision under general anesthesia. Postoperative voice therapy is usually recommended to prevent recurrence. Discuss surgical risks fully with your clinician.
Recovery and prevention
Recovery involves a structured plan of voice rest and gradual reintroduction of speaking tasks. Follow-up visits monitor healing and adjust therapy as needed. Korean medical centers emphasize standardized recovery protocols to protect vocal health. Return to work should be staged under guidance.
Adopting healthy voice habits, staying hydrated, and avoiding smoking reduces strain. Managing reflux and allergies that irritate the throat helps prevent nodules. Warming up before singing or speaking and using proper technique lowers the risk. Avoid dehydration and mouth breathing during recovery.
When seeking care, choose a clinic with an experienced laryngologist. Look for access to diagnostic tools such as flexible laryngoscopy and stroboscopy. Prefer centers offering integrated care with voice therapy and medical management. Families and colleagues can help by maintaining a quiet environment.