Vocal Folds Nodules - Microsurgery

Typical changes at the junction of anterior 1/3rd to posterior 2/3rd of vocal folds are vocal nodules - bilateral symmetrical swellings arising from the free edge. The main cause is the misuse, overuse or abuse of voice (phonotrauma). The therapy depends on the stage of the disease - early nodules has potential to resolve spontaneously with proper speech and behavioural therapy. Sometimes surgical excision should be performed if the changes don't resolve over time or affects patient's quality of the voice. This video will allow you to see the typical mature vocal fold nodules and its perfect outcome after microsurgery by use of endoscope. Videostroboscopic examination is done to assess the mucosal waves - they regained six weeks after surgery. The voice recovered to normal.