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July 1962

Voice Reeducation of Adolescents with Vocal Nodules

Arch Otolaryngol. 1962;76(1):68-73. doi:10.1001/archotol.1962.00740050072013

Laryngologists and speech pathologists who deal with adolescents occasionally see one with the complaint of a hoarse voice due to vocal nodules. In many cases these nodules are the result of vocal abuse and improper methods of phonation. This article is concerned with adolescents who need carefully planned voice reeducation programs coordinated with medical and surgical procedures.

Causes  Many adolescents habitually shout, scream, and otherwise misuse their vocal apparatus as they go about their daily activities, andsome develop vocal nodules. Vocal nodules make the voice sound hoarse, as if the person has a cold or laryngitis.1 When nodules are the result of misuse of the voice, they are usually located at the junction of the anterior and middle thirds of the cords.2-7 This is the area considered most active in the production of higher notes and apparently is where the mechanical strain is the greatest.8 Such

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