VOCAL CORD NODULES ("Singer's Nodes") BASIC INFORMATION DESCRIPTION Non-malignant overgrowths of tissue on the vocal cords. FREQUENT SIGNS AND SYMPTOMS Persistent hoarseness without pain. CAUSES. Continued overuse of the voice by singing, shouting, yelling, lecturing or other forms of talking too loudly or too much. RISK INCREASES WITH Smoking. Vocal performers or public speakers, such as professional singers, teachers, ministers or auctioneers. PREVENTIVE MEASURES Use voice amplification, such as a microphone or megaphone, when performing or speaking. Take voice or speech lessons to learn to make your voice carry with less effort. Ask others to remind you when you get overexcited, especially in activities such as sporting events, so you can lower your voice. Don't smoke. EXPECTED OUTCOME Curable with a simple surgical procedure. POSSIBLE COMPLICATIONS Without treatment, permanent hoarseness or voice alteration. Failure to diagnose larynx cancer, which also begins with hoarseness. TREATMENT GENERAL MEASURES Diagnosis may include a biopsy of the node to rule out cancer. Surgery to remove the nodules (usually). Nodules may disappear if the voice is rested for several months. If you choose this treatment rather than surgery, speak in a whisper or write notes. Don't smoke, and avoid smoky environments. MEDICATION After surgery: Antibiotics to prevent infection may be prescribed. You may take mild non-prescription pain relievers, if necessary, such as acetaminophen or aspirin. ACTIVITY Don't use your voice after surgery until healing is complete. DIET No special diet NOTIFY OUR OFFICE IF You or a family member is hoarse for more than 2 weeks.