Vocal Cord Lesions in Singers: Causes, Treatment & Prevention Tips
At Trio Voice & Speech, we understand that a singer’s voice isn’t just an instrument—it’s part of your identity. Yet, even the most talented singers are vulnerable to injury. Vocal cord lesions, including nodules and polyps, are common conditions that can affect singers, performers, and anyone who relies heavily on their voice. Understanding these conditions and learning how to prevent and treat them is key to maintaining vocal health.
Nodules vs. Polyps: What’s the Difference?
Vocal nodules and polyps are organic lesions that develop on the vocal folds (cords) due to repeated stress, trauma, or inflammation. While both affect vocal quality, they differ slightly:
Nodules are small, callous-like growths that form in pairs on both vocal cords. They develop gradually and are often the result of chronic overuse or improper vocal technique.
Polyps are soft, blister-like lesions that usually appear on one vocal cord. They can result from high vocal demand or phonotrauma, exposure to irritants, or speaking when ill.
Both lesions interfere with the normal vibration of the vocal cords, leading to symptoms such as hoarseness, vocal fatigue, reduced range, or a “breathy” or “scratchy” voice.
Why Singers Are at higher risk
Singers are at higher risk for developing vocal cord lesions due to the demands placed on their voices. Some common contributing factors include:
Overuse and repetitive strain: Singing for extended periods without adequate rest can irritate the vocal cords.
Improper technique: Straining, pushing the voice beyond its comfortable range, or poor coordination between the breath and phonation increases stress on the vocal folds.
Illness and inflammation: Respiratory infections, allergies, and acid reflux can impact the vocal tissues, making them more prone to injury.
Lifestyle factors: Dehydration, smoking, and environmental irritants can exacerbate vulnerability.
Treatment and Rehabilitation
Effective treatment often involves a combination of approaches:
Voice Therapy: A speech-language pathologist specializing in voice can help singers develop healthier vocal techniques, improve breath support, and reduce harmful habits that contribute to lesions.
Medical Management: For polyps or significant nodules, ENT evaluation may be necessary. In some cases, surgical intervention is required, but therapy often remains a critical component of recovery.
Vocal Rest: Short periods of voice rest can allow vocal fold lesions to heal.
Lifestyle Adjustments: Proper hydration, vocal warm-ups, and minimizing irritants can support long-term vocal health.
