Vocal Fold Nodules

Retrospective Study of 428 Cases for 10 Years

Abstract

Four hundred twenty eight patients with vocal fold nodules were treated in our clinic between 1981 and 1990. One hundred thirteen cases were children (younger than fifteen years) and 315 cases were adults (older than fifteen years). Among children, males predominated, while 98% of patients were females in the adult cases. Vocal abuse was the most frequent cause. The children tended not to care of vocal abuse. Sixty-one children were treated with voice therapy with improvement in 65%. One hundred eighty five adult patients were treated with voice therapy only and 77% showed improved phonation. Excision of the nodules was performed for 34 adult cases with endolaryngeal microsurgery or laryngeal fiberoscopy. The voice was improved in 93% of the cases treated surgically.