Vocal nodules are benign (non-cancerous) growths that form on the vocal folds. Our vocal folds are tissue with a delicate lining that vibrate in the air stream to produce voice. Sometimes, when we speak or sing incorrectly for prolonged periods of time, the lining can swell. Over time, this swelling becomes firmer, until it is a nodule.

All children strain their voice every now and then: calling out while playing with their friends, imitating animals or cartoon characters while pretend playing and screaming when upset about something. This usually does not do any harm to the vocal cords.

However constant screaming, excessive crying or using the voice in an unnatural way for a prolonged period of time could lead to misuse of the vocal cords. This can lead to your child’s voice sounding hoarse or breathy for a long period of time. A child with chronic hoarseness will usually be referred to an Ear Nose and Throat (ENT) specialist for a thorough examination.

A speech therapist can help by teaching the child better vocal hygiene and ways to preserve and use his/her voice better over time. If you have questions about vocal nodules or think your child may have them, please contact your ENT and speech therapist for further evaluation.

Written by Tasneem Abdul Samad, Speech Pathologist.