The primary treatment recommended for vocal fold nodules is voice therapy to improve vocal technique. However, in some cases, when a clear and resilient voice is desired, this is not sufficient and the vocal cord nodules must be ablated. This can be done under general anesthesia or transorally with local anesthesia. Voice surgery (phonosurgery) for nodules on the vocal cords is quite advisable in children with a high level of distress. Continuation of voice exercise therapy after surgery is usually recommended to prevent recurrence of the change (so-called sandwich method: voice therapy – surgery – voice therapy).
Conclusion: Although vocal cord nodules tend to be a chronic voice disorder, clinically this can more or less suddenly turn into a disturbing dysphonia. Conservative therapy is usually sufficient; surgery may be required. Especially for singers, but also for all others, we offer post-operative voice rebuilding therapy.