■ Vocal fold nodules are bilateral, fairly symmetric, midmembranous vocal fold lesions that have normal stroboscopic or minimal impairment findings that result in an hourglass closure pattern.
■ Most patients with vocal fold nodules improve with nonsurgical treatment methods, however there may be some rare cases of recalcitrant vocal fold nodules that require surgical excision.
■ Surgical excision of vocal fold nodules should be extremely conservative, precise and performed in a subepithelial fashion.
■ The initial retraction or grasping of the vocal fold lesion is very important. This step in large part determines the success of the procedure.
KeywordsVocal Fold Voice Therapy Vocal Nodule True Vocal Fold Vocal Fold Lesion
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