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Rather than surgery...therapy!
According to Pederson et al. (2005), “It may be that ‘failures’ of therapy will also fail all types of intervention. Even if the nodules are removed, if the causative factors are not addressed, the nodules will recur.”
Facilitating Approaches:
confidential voice, counseling, focus, glottal fry, nasal/glide stimulation, and yawn-sigh
Vocal Hygiene:
breathing, onset, dietary concerns, environmental concerns, and hydration
Bohlender, J. (2013). Diagnostic and therapeutic pitfalls in benign vocal fold diseases. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery, 12, Doc01. DOI: 10.3205/cto000093
Boone, D., McFarlane, S., Von Berg, S., & Zraick, R. (2010). The Voice and Voice Therapy (Eighth ed., pp. 197, 198, 207, 211, 212-213, 223-224, 243). Boston, MA: Allyn and Bacon.
Colton, R., & Casper, J. (2011). Understanding voice problems: A physiological perspective for diagnosis and treatment (Fourth ed., pp. 98-101). Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins.
Pedersen M, McGlashan J. Surgical versus non-surgical interventions for vocal cord nodules. The Cochrane Database of Systematic Reviews 2001, Issue 2. Art. No.: CD001934. DOI: 10.1002/14651858.CD001934.
Sivasankar, M., & Leydon, C. (2010). The role of hydration in vocal fold physiology. Current Opinion in Otolaryngology & Head and Neck Surgery, 18(3), 171–175. DOI:10.1097/ MOO.0b013e3283393784
Sheela, S. (n.d.). Laryngeal aerodynamic analysis of vocal nodules. Journal of Laryngology and Voice J Laryngol Voice, 10-10. Retrieved June 10, 2015, from www.laryngologyandvoice.orgarticle.aspissn=2230-9748
Images taken from: http://jslhr.pubs.asha.org/article.aspx?articleid=1851192
and http://www.practicalslpinfo.com/evaluating-reflux.html