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Slideshow: Common Voice Disorders

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Published: May 9, 2011
Updated: Aug. 4, 2011

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Click through these photos to see voice disorders commonly treated at Duke, including vocal fold polyps, cysts, and nodules.

For all pictures, the left vocal fold is on the right side of the picture, and the right vocal fold is on the left side of the picture.

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Bilateral vocal fold nodules

Vocal nodules -- also known as nodes or singer’s nodes -- are akin to calluses of the vocal folds. They occur on both vocal cords opposite each other at the point where the vocal folds come together with the most contact during vocal fold vibration.

Learn about the symptoms and treatments of vocal fold nodules.

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Left vocal fold cyst

Vocal fold cysts usually occur due to a combination of overuse of the voice and throat irritation. Depending on its size and depth within the vocal fold, a vocal fold cyst can cause some stiffness and change vocal fold vibration, causing hoarseness.

Learn about the symptoms and treatments of vocal fold cysts.

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Left vocal fold polyp

A vocal fold polyp is a benign lesion (bump) that can form on one or both sides of the vocal folds, and may be white, translucent (like this one), or red if there is a hemorrhage. A vocal fold polyp is usually caused by a combination of voice overuse and throat irritation.

Learn about the symptoms and treatments of vocal fold polyps.

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Left vocal fold hemorrhagic polyp

A vocal fold hemorrhagic polyp occurs when a blood vessel going into the lesion becomes enlarged or begins to bleed, giving these polyps a reddish color.

Learn about risk factors, symptoms, and treatments of vocal fold polyps.

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Left vocal fold hemorrhage

A vocal fold hemorrhage is a bleed that occurs when a blood vessel on the surface of the vocal fold ruptures and bleeds in the tissue of the vocal fold, giving the vocal fold a reddish color, as in the this picture of a fresh hemorrhage.

Learn about risk factors, symptoms, and treatments of vocal fold hemorrhages.

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Right vocal fold with hemorrhagic polyp at mid-fold -- the reddish and yellowish areas on the right vocal fold indicate recent, resolving hemorrhage

The left vocal fold shows signs of ectasia

A vocal fold hemorrhagic polyp occurs when a blood vessel going into the lesion becomes enlarged or begins to bleed. The ectasia on the left vocal fold is a blood vessel that has become enlarged in a local area, but has not ruptured and bled into the surrounding tissue.

Learn more about vocal fold hemorrhages and vocal fold polyps.

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Severe bilateral polypoid changes to the vocal folds (Reinke's edema), creating airway restriction

Reinke's edema (also called polypoid degeneration of the vocal folds) is caused by chronic irritation to the vocal folds, often associated with smoking. The vocal folds becomes swollen, causing hoarseness and a deeper-speaking pitch. In severe cases, as in the this picture, Reinke's edema can cause restriction of the airway and difficulty breathing, which requires surgery.

Learn more about the causes and treatments of Reinke's edema (polypoid degeneration of the vocal folds).

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Vocal fold cancer

This image shows early vocal fold cancer on the right vocal fold that is limited to the top layer of the vocal fold and has not become invasive.

Learn more about risk factors, symptoms, evaluation, and treatment of vocal fold cancer.

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Left vocal fold paralysis

Vocal fold paralysis is caused by damage to the nerve that operates the vocal fold. Paralysis means that the vocal fold is "stuck," usually in the closed position. This can cause a hoarse, breathy voice, trouble swallowing, and some changes to breathing.

Learn symptoms and treatments of vocal fold paralysis.

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Muscle tension dysphonia

Muscle tension dysphonia occurs when the muscles around the larynx (voice box) are too tight during speaking, such that the voice box does not work efficiently. The voice usually sounds very strained.

Learn about causes, symptoms, and treatments of muscle tension dysphonia.

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Fungal infection of the larynx

Fungus or candida is seen on both vocal folds and in the pharynx.

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About This Page

Updated: Aug. 4, 2011
Published: May 9, 2011
URL: http://www.dukehealth.org/services/voice_care_center/care_guides/voice_conditions/slideshow-common-voice-disorders