In this article
- Nodules are often paired; a polyp is often one-sided
- Hoarseness and vocal fatigue are common
- Diagnosis requires laryngeal examination
Assessment and treatment
- Voice hygiene and hydration
- Speech/voice therapy
- Microlaryngeal surgery for selected persistent lesions
At a glance
Definition: Voice overuse, irritation or trauma can produce benign vocal-fold lesions.
Key takeaways
- Nodules are often paired; a polyp is often one-sided
- Hoarseness and vocal fatigue are common
- Diagnosis requires laryngeal examination
Clinical steps
- Voice hygiene and hydration
- Speech/voice therapy
- Microlaryngeal surgery for selected persistent lesions
Red flags: Breathing difficulty, coughing blood, a neck lump or hoarseness over three weeks needs prompt ENT examination.
Quick FAQ: When should I see an ENT specialist?
Breathing difficulty, coughing blood, a neck lump or hoarseness over three weeks needs prompt ENT examination.
How I assess this in clinic
I first clarify duration, severity, whether symptoms are one-sided or bilateral, and their effect on daily life. I then perform a focused ENT examination and compare the findings with nodules are often paired; a polyp is often one-sided.
Endoscopy or audiometry is not required for everyone. I advise endoscopy when the nose, sinus, throat or voice box needs direct assessment, and audiometry/tympanometry when hearing or middle-ear function is in question.
A common misconception is that every ENT problem needs an antibiotic or an operation. Treatment should instead follow the diagnosis, functional impact, examination findings and evidence-based indications.
Do not wait when: Breathing difficulty, coughing blood, a neck lump or hoarseness over three weeks needs prompt ENT examination.
For patient education; not a substitute for individual diagnosis or treatment.