Question
A teacher presented with hoarseness of voice.On Laryngoscopic examination,following image is seen.Which is the common location of this pathology (marked by yellow arrow) ?
A. Any where
B. Junction of anterior 2/3 and posterior 1/3 vocal cords
C. Junction of anterior 1/3 and posterior 2/3 vocal cords
D. Middle of anterior 1/3 and posterior 2/3 vocal cords
This structure is avocal cords
Show Answer
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Correct Answer » C
Explanation
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Ans:C. Junction of anterior 1/3 and posterior 2/3 vocal cords.
The patient is suffering from Vocal Nodules.
VOCAL NODULES
- Singer’s or Screamer’s nodes
- Appear symmetrically on the free edges of vocal cords, at the junction of anterior one-third and posterior two-thirds.
- Size of nodule is less than 3 mm.
- Results of vocal trauma when a person speaks in unnatural low tones for prolonged periods or at high intensities
- Mostly affects teachers, actors, vendors and pop singers
- Also in school going children who are too talkative
- Symptoms – hoarseness of voice, vocal fatigue and pain in the neck on prolonged phonation.
Management:
- First line of therapy is speech therapy.
- Microlaryngoscopic surgery should be reserved for cases which do not respond to voice therapy.
- Small nodules mostly needs conservative management .Large nodules may need surgical excision
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