Image Based Question-66181

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

Correct Answer » C Explanation

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