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For a crystal clear sounding voice, the vocal fold vibration and mucosal wave must be symmetric and cyclical as well as precisely apposed against each other. However, with prolonged aggressive hyperfunctional voice use, nodules may form on the vocal folds which appear like callous like growths. The nodules disrupt the vocal fold vibration and mucosal wave leading to a raspy sounding voice. Because a nodule is an abnormal thickening of the mucosal epithelium, one can surgically remove the nodule and allow the mucosal lining to heal back together. Alternatively, voice therapy can be pursued to minimize the repetitive vocal fold trauma from aggressive voice use leading to eventual disappearance of the nodules. Voice therapy to help nodules include: Vocal Straw Exercises (Semi-Occluded Vocal Tract) Voice Therapy: • Vocal Straw Exercises (Semi-Occluded Vocal... Vocal Function Exercises: • Vocal Function Exercises (Voice Therapy) Pediatric Voice Therapy for Child: • Pediatric Voice Therapy for Child with Hoa... Check out our voice therapy playlist! • Voice Therapy Vocal cord surgery: • Vocal Cord Surgery Mass Excision - Micro D... Video created by Dr. Christopher Chang: https://www.FauquierENT.net Still haven’t subscribed to Fauquier ENT on YouTube? ►► https://bit.ly/35SazwA