Vocal cord nodules (also called singer’s nodules) are noncancerous, callous-like lesions that form on the vocal cords as a result of vocal abuse. They change the way the voice sounds.
Overview
What are pediatric vocal cord nodules (singer's nodules)?
Sounds are produced when air pushed up from the lungs passes through the vocal cords, which are a V-shaped band of muscle located in the larynx (voice box). When the voice is overused, the vocal cords (also called vocal folds) can become swollen. With repeated vocal abuse, the swollen spots can’t heal and can turn into callouses or nodules.
Vocal cord nodules usually develop at the midpoint of the vocal folds and face each other. They prevent vocal cords from vibrating properly, which changes your child’s voice, making it sound hoarse, scratchy or strained.
Signs and Symptoms
What are the signs and symptoms of pediatric vocal cord nodules (singer's nodules)?
Breaks in the voice
Coughing and throat clearing
Difficulty changing pitch
Difficulty singing/holding notes
Fatigue
Hoarse (harsh, raspy or strained) voice
Neck/throat pain
Scratchy voice
Sensation of a "lump" in the throat
Shooting pain from ear to ear
Straining neck or shoulder muscles while speaking
Causes
What are the causes of pediatric vocal cord nodules (singer's nodules)?
Misuse or overuse of the voice due to the following conditions or activities can lead to vocal cord nodules:
Cheering
Dehydration/throat dryness
Emotional outbursts like yelling or crying
Excessive throat clearing or coughing
Singing
Speaking in a strained voice
Using excessively loud sounds or voice
