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Vocal Nodules, Cysts, and Polyps

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Vocal cord lesions (also known as vocal fold lesions) are benign (non-cancerous) growths called nodules, cysts, or polyps. These growths result from overuse or misuse of the voice. Women between the ages of 20 and 50 years old, smokers, and singers, actors, or others who use their voice professionally are at highest risk for developing vocal nodules, cysts, or polyps. However, they can develop in anyone.

Our vocal folds strike each other over 100 times per second when we are speaking, and this repeated trauma can lead to a build-up of thickened calluses on the surface. These calluses are referred to as nodules, even though there may not be anything “nodular” about them.

A cyst is simply a small, closed-off structure that may either be filled with fluid or with solid material. These benign (harmless) lesions can occur below the surface of the vocal fold and have a significant impact on the normal vibration and sound production.

Vocal fold polyps are benign growths that generally occur due to a broken blood vessel. The body attempts to heal the broken vessel by forming a layer of tissue that then grows into a polyp. These can reduce the quality of the voice by preventing the vocal folds from closing and vibrating normally.

Symptoms of vocal cord lesions include:

  • Breathiness
  • Feeling of a lump in the throat
  • Frequent breaks in the voice
  • Frequent coughing or throat clearing
  • Hoarse voice
  • Loss of vocal range
  • Loss of voice
  • Multiple tones of the voice
  • Neck pain
  • Shooting pain from ear to ear
  • Vocal fatigue

Why Choose UHealth?

Customized treatment from a multidisciplinary team. We work with you to understand your condition and your vocal goals so we can craft a customized treatment plan that makes the most sense for you. When therapy is needed, we develop a personalized therapy program based on your specific situation and tailored to your needs and goals. Our multidisciplinary team works alongside you for the long term to ensure that you receive comprehensive treatment and get your voice back.

World-class care in an academic health system. We are recognized throughout South Florida and the world as a leader in treating conditions and disorders of the ear, nose, and throat. Backed by one of the nation’s top universities, our team uses the latest technologies and research-driven expertise to provide you with superior, personalized care and the best outcomes.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Voice Therapy 

    Your ear, nose, and throat (ENT) doctor may recommend you undergo voice therapy to manage your vocal cord lesions. You will learn techniques and strategies to maximize vocal efficiency and function, as well as improve your overall vocal awareness.

  • Vocal Rest 

    Your doctor may recommend that you take some time to rest your voice from singing – or even from speaking altogether – to give your voice a chance to heal.

  • Smoking Cessation 

    Your ENT doctor will recommend that you quit smoking to reduce strain on the vocal cords and to improve your overall health.

  • Stress Reduction 

    Your ENT specialist may recommend that you find ways to help reduce and manage the stress in your life, which can place a strain on your voice.

  • Surgery 

    If therapy has not helped your vocal nodules, your ENT doctor may recommend you undergo surgery to remove the nodules. Polyps and cysts usually do not respond to voice therapy, so surgery may be needed.


Tests

  • Physical Exam 

    Your ENT doctor will complete a thorough physical exam and ask you questions to diagnose your vocal nodules, cysts, or polyps. He or she may use a special, lighted scope to closely examine the vibration of your vocal cords and look for abnormalities. 

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • CompCare (Comprehensive Behavioral Care)
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry Vista Medicare HMO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Global Health Claims Services
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana HUMx
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care