This study was performed to determine if the presence of preoperative VCP predicts malignancy. Nodules affect girls and boys of any age, and are a common cause of voice issues in both children and adults. The vocal cords nerves are very sensitive and once injured, will not heal. Found inside – Page 531Vocalists will likely be worried whether surgery will adversely affect their voice. ... Large thyroid nodules may cause a tracheal shift and present a challenge to the anesthesia provider for intubation and airway A BOX 16.1 ... Head or neck trauma. In such cases, your doctor may prescribe medicine or recommend surgery to remove the nodules or shrink a nodule by removing fluid from it with a thin needle. Vocal cord paralysis (VCP) is found in both benign and malignant thyroid disease. The appearance of one or more lumps that can be felt in the neck. If the nodule is cancerous, you should consult an experienced thyroid cancer surgeon as surgery is the most important part of the treatment for thyroid cancer. Found inside – Page 143Surgical anatomy and physiology Well-differentiated thyroid carcinoma Evaluation of thyroid nodules Molecular testing Indications ... and an external motor branch that innervates the cricothyroid muscles to affect vocal cord tension. Vocal cord nodules, also called vocal fold nodules, are of a mass of tissue that grows on the vocal cords and do not usually affect the patient's general health. A vocal cord that is paralyzed greatly increases the concern that a thyroid nodule may be a cancer. Consequently, it has a negative impact on one's ability to speak or sing. Found inside – Page 122The clinical presentation of a patient with a thyroid nodule can include an asymptomatic incidental finding during ... evaluation for associated symptoms including dysphagia, hoarseness or voice changes, choking sensation, dyspnea, ... These bumps are benign (noncancerous) and are similar to calluses that can form on the hands. Sensation of something stuck in the throat. Rarely, nodules can be large enough that they may cause compressive symptoms, such as difficulty swallowing or hoarseness due to the nodule pushing on the esophagus or the nerves that control the vocal cords. CLICK HERE: for COVID-19 Information and Vaccine Availability. The thyroid gland is in the lower part of the front of the neck, just in front of your windpipe. Brodniz et al, reported nodule polyp and polypoid thickening in 45% of 977 cases with impairment of the voice (15). Thyroid cancer is commonly diagnosed at a younger age than most other adult cancers. Hypothyroidism: When thyroid hormone levels are extremely low, and uncorrected, the vocal folds may develop thickening of the vibrating layer. Avoid dehydrating drinks like coffee and alcohol. Speech originates from the voice box, or larynx, which is located in the throat. Gastroesophageal reflux disease (GERD) can cause additional swelling and inflammation, worsening symptoms of vocal cord nodules. Vocal cord disorders can affect your voice or ability to talk. Reduction of vocal capacities. Then your vocal cords swell, which affects the way they vibrate. To protect itself, the body produces mucous much in the same way as it would deal with an allergic reaction. Vocal cord nodules can sometimes cause other changes to a person's voice, too. Children of all ages can develop vocal cord nodules if they scream, cry or yell a lot or even very forcefully in one or two spurts. If you have airborne allergies, ask your doctor what . Hyperfunctioning thyroid nodules: These nodules autonomously produce thyroid hormone without regard for normal feedback control mechanisms, which may lead to the development of hyperthyroidism. Stress Reduction Therapy - Relaxation techniques with the aid of a specialized therapist can help you eliminate or reduce stress that affect your vocal cords. A Hoarse Voice Is One Of Many Thyroid Symptoms Low thyroid hormone levels cause fluid to accumulate in the vocal folds, and when the thyroid gland enlarges due to disease, the vocal chords can become pinched or partially paralyzed due to their snug proximity. Conclusion: Benign thyroid nodules could also cause vocal cord paralysis and hoarseness, the effect can be satisfying by subtotal thyroidectomy and exposing of recurrent laryngeal nerve if it can be early diagnosed. In the majority of cases this happens slowly and does not affect the function of the nerve. Unless we use our voices correctly, and rest when we need to, vocal injury develops fairly easily because of the delicate nature of vocal folds. The thyroid gland is in the lower part of the front of the neck, just in front of your windpipe. If you are going to have surgery to treat thyroid cancer, a procedure called a laryngoscopy will probably be done first to see if the vocal cords are moving normally. Doctors resort to this treatment when the nodules . Moreover, close inspection of the thyroid by sonographic imaging shows that as many as one-third of women and one-fifth of men have small . If reflux medications or dietary modifications are recommended, then a follow-up in the clinic will likely be suggested as well. Thyroid Nodule: When is a Radioiodine Scan Ordered? This aims to remove the nodule from the vocal cord. Thyroid enlargement can cause difficulty swallowing, or dysphagia, as a result of the thyroid gland directly compressing the swallowing organs. July 22, 2020 Published in: Cancer, Primary Care. These growths become hard and thick, similar to a callous. Conclusion: Benign thyroid nodules could also cause vocal cord paralysis and hoarseness, the effect can be satisfying by subtotal thyroidectomy and exposing of recurrent laryngeal nerve if it can be early diagnosed. TUESDAY, Nov. 3, 2020 (HealthDay News) -- Nerve damage to vocal cords could be the reason why some people recovering from COVID-19 suffer mysterious bouts of shortness of breath for months after . So most people who feel like there is something stuck in their throat that they feel they need to clear by swallowing actually have a goiter made of many thyroid nodules. A growth on the thyroid, or a nodule, can also affect the way you speak. Patient and nodule characteristics were correlated with final . If you have any of these signs or symptoms, talk to your doctor right away. The vocal cords are robust but like any part of the body they can become damaged through overuse, strain, illness and infection. With steroids, these singers sound better than they do normally. Hoarseness is a common symptom in lung cancer patients, although it can be caused by other conditions as well. They produce sounds using the cartilage sitting above and below the thyroid gland (2). Oddly enough, the joints are called the cricoarytenoid joints. Thyroid nodules are relatively common; 6% of adult women and 2% of adult men in the U.S. have a thyroid nodule that can be felt on examination. The diseases are discussed in a uniform, easy-to-follow format--a brief description, signs and symptoms, etiology, related disorders, epidemiology, standard treatment, investigational treatment, resources, and references.The book includes a ... Sometimes, this is due to a benign or malignant growth on the vocal cords. Signs and Symptoms Initially after the trauma the voice may become "cloudy" (minimally husky) and less responsive over a certain pitch range, losing clarity and brightness. Ours is one of only a few programs nationwide that is dedicated to the comprehensive voice treatment for children. Blood tests can help show if your thyroid is working normally, which may help the doctor decide what other tests may be needed. How will link building help your company? The book fully covers thyroglossal cysts and their management, and provides background information on diffuse nontoxic and nodular goiter, restrosternal goiter and the surgical techniques used to treat them. State-of-the-art reviews on minimally invasive thyroid and parathyroid surgery as well as articles on novel approaches to the management of thyroid cancer are included. "As the nodules get larger, they can irritate your throat and lead to a long-lasting cough. Even less commonly, hoarseness can be caused if the nodule invades the nerve that controls the vocal cords but this is usually related to thyroid cancer. Vocal nodules affect the way a person's voice sounds. This book, "Histopathology-An Update" is a comprehensive book that deals with the latest advances in the field of histopathology. The longer you can rest your vocal cords, the better. With proper vocal hygiene, reflux management when needed, and voice therapy, a majority of patients have a significant improvement in the voice and many have resolution of the voice problems. Can your thyroid cause you to have trouble swallowing? If left untreated, vocal cord nodules continue to grow and stiffen, so early detection is important to avoid future complications that can affect your voice. In some cases, rapidly enlarging cysts may produce symptoms in the neck, including pain, trouble swallowing, and rarely, compression of vocal cords . It can be difficult to know if you have a vocal nodule. Found inside – Page 512Ultrasound can be used to identify other nodules within the thyroid that may affect the decision to perform a ... in voice or hoarseness or previous neck surgery should undergo a direct laryngoscopy to confirm vocal cord function. Only in instances where the blood test to examine the thyroid nodule patient demonstrates that hyperthyroidism is present in addition to the presence of the thyroid nodule, is a radioiodine scan . Found inside – Page 152Hypothyroidism may produce chronic vocal cord oedema . Rheumatoid arthritis can affect the crico - arytenoid joints where the vocal cords attach , leading to less mobility . In congestive cardiac failure the left recurrent laryngeal ... These spots can develop into harder, callous-like growths called nodules. Vocal Cord Scars. Some singers always have swelling due to voice misuse. The incidence of preoperative VCP was recorded. Found insideThis book discusses the aging voice, one of the interesting issues related to aging. Enjoy a Non-Invasive Form of Treatment. Augusta Health Vaccine Clinic Update: September 9, 2021, Augusta Health Vaccine Clinic Update: September 7, 2021, Augusta Health Vaccine Clinic Update: September 1, 2021, Take These Actions Today to Prevent Traumatic Injuries, An inside look at how the body ages (and how to slow the process! A critical component of improving voice outcomes after thyroid surgery is to educate patients about the possible vocal effects associated with these procedures. The lesion was benign in 50% of the 2618 cases with vocal impairment (16). The thyroid gland, which is usually about the size of a quarter, can become enlarged as a symptom of various thyroid disorders, as well as other medical conditions. Signs and Symptoms of a Vocal Nodule. Some of the more common vocal cord disorders include laryngitis, vocal nodules, vocal polyps, and vocal cord paralysis. Vocal cord disorders are often caused by vocal abuse or misuse. The nerves that control your vocal cords are just behind the thyroid. Copyright © 2021 Augusta Health. Preachers may be susceptible to developing vocal cord nodules. Guidelines provide effective cancer risk assessment for thyroid nodules. Nodules do not develop overnight or after just one instance of vocal abuse. HAD THYROID SURGERY 2-18-08 TO REMOVE RIGHT SIDE,HAVE HAD CHRONIC HOARSENESS SINCE SURGERY.ENT TOLD ME LAST WEEK THE RIGHT VOCAL CORD IS NOT MOVING,HE SAID THE NERVE HAD NOT BEEN CUT.ONLY TIME WILL TELL IF IT WILL START WORKING.ALSO HAVE ALOT OF SCAR TISSUE AROUND INCISION.ENT TOLD ME TO MESSAGE IT ALOT TO HELP BREAK IT UP . We take a look at how vocal nodules might affect your voice, speaking, and singing, and . Trauma during birth. Found inside – Page 369It is at the junction of anterior one-third and posterior two-thirds of the free edge of vocal cord (Fig. 45.1A). ... Diagnosis The subtle nodules affect professional voice users and missed in laryngoscopy. They can be diagnosed with ... Found insideDESCRIPTION A thyroid nodule is a growth (lump) in the thyroid gland located in the front of the neck. ... Nodules are common and more often affect older adults and women more than men. ... Injury to the vocal cords during surgery. Speech is discussed in more detail in our how the throat works section. However, should the growth be rapid or the thyroid expand as a result of a bleed into a cyst the function of the nerve may be affected. Chronic sore throat, sometimes with ear pain. New to this edition: · Twenty-three chapters authored by new contributors and international experts · A companion website with fully searchable text for quick reference · Three new chapters discuss surgical management of thyroid cancer, ... If you continue to use this site we will assume that you are happy with it. Your vocal cords are located within your voice box (aka the larynx). It is shaped like a butterfly, with a “lobe” on each side joined by a thin strip of tissue. Laryngoscopy: A doctor will place a spaghetti-like camera in your child’s nose and down the throat. Educational health information to improve your well-being. Vocal cord nodules can be diagnosed using the following procedures: Most of the time, these exams can be done while your child is awake and in an office setting. Found inside – Page 977Clinical Factors Suggesting Malignancy in Thyroid Nodules High probability Rapid growth of nodule Vocal cord paralysis Fixation ... Withdrawal, vegetative disturbances, apathy, and loss of motivation can affect the entire family unit. Like other tissues in the body, vocal cords can be strained and damaged. The recommended treatment of vocal cord nodules includes learning to properly use the voice (also known as practicing vocal hygiene) and voice therapy. The guidelines recommend several strategies to enhance discussions with patients before and after surgery ( Table 2 ). Our voice team at The Children’s Hospital of Philadelphia is a dynamic multidisciplinary group of professionals with years of experience managing pediatric voice difficulties. If there is a reason to suspect you might have thyroid cancer, your doctor will use one or more tests to confirm the diagnosis. Alcohol irritates and dehydrates the vocal folds as well as the rest of the body. The American Cancer Society estimates that in 2020, approximately 52,890 new cases of thyroid cancer will be diagnosed and that there will be approximately 2,180 deaths from thyroid cancer. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Can Thyroid nodules affect vocal cords? You cannot usually see or feel the thyroid gland. This book provides the necessary information about not only the clinical aspects of caring for cancer survivors, but also the psychosocial impacts. Found insideNumerous tables, graphs, and figures add further clarity to the text." ...Written by experts in the field, this book is updated with the latest advances in pathophysiology and treatment. Hi,in the lats six months there is no change in size for the cyst in your thyroid gland but it is importsnt to know that cystic nodules may expand and enlarge suddenly sometimes due to hemorrhage or bleeding within a smaller pre-existing nodule. Currently, my right vocal cord is paralyzed and the culprit is the return of the thyroid cancer. This well-illustrated book provides step-by-step guidance on the various techniques – microlaryngoscopic, fiberoptic endoscopic and transcutaneous – that can be employed for the purpose of injection laryngoplasty, a surgical procedure ... If the voice is still problematic, then your child may need to be seen every six to 12 months to monitor her voice. Specifically, coughing can cause inflammation in the larynx. Certain medicines can cause damage to the vocal cords. If the voice responds to this form of treatment, then no further follow-up is needed. On rare occasions, the voice can be affected by an aggressive thyroid cancer that directly invades the RLN, making the vocal cord weak or paralyzed. Before you jump into surgery, though, consider all the benefits vocal therapy can offer you. Contact Us: Mon-Fri., 8:30 a.m. - 4:30 p.m. Buerger Center for Advanced Pediatric Care. Thyroid Nodule: When is a Radioiodine Scan Ordered? This allows our team to look at your child’s voice box, or larynx. Most solid thyroid nodules will not shrink on their own. 1. Thyroid tests are most typically normal—even when cancer is present in a nodule. All can cause hoarseness and may be associated with vocal overuse or vocal cord trauma. 78 Medical Center Dr, Fishersville, VA 22939, Recipient of the US World & News Reports Best Regional Hospital and Healthgrades 50 Best Hospitals award. The prognosis for children and adolescents with vocal cord nodules is good. Why does hypothyroidism cause hoarseness of voice? Report. Below are several overlooked signs of thyroid cancer. Women are three times more likely to develop thyroid cancer than men. The vocal cords are two bands of elastic muscle tissue that sit side-by-side in the voice box at the back of the throat. Vocal cord paralysis can also be an incidental finding unrelated to thyroid abnor … Vocal cords are also subject to infections, tumors and trauma. Vocal cord paralysis can be the result of benign thyroid disease by such mechanisms as compression, stretching, or inflammation. All of these problems affect the voice. Most foods that you should avoid do not trigger disease in the vocal cords. More than 90% of thyroid nodules are benign. Vocal folds with nodules - it is easy to see how the vocal nodules prevent the vocal folds from closing fully and how they could interfere with vocal fold vibration. Symptoms may include pain in the throat, feeling generally unwell, swelling of the thyroid gland and, sometimes, symptoms of an overactive thyroid gland or symptoms of an underactive thyroid gland. Children’s Hospital of Philadelphia is a charitable 501(c)(3) nonprofit organization. But, you can get your voice back. Some illnesses of the vocal cords are common, but others are less so. 3401 Civic Center Blvd. Vocal cord nodule. Here's what you can expect during your first Voice Program appointment. When you are silent, the cords remain open. There are tumors that can affect the vocal cords that do change the tone of one's voice. For most people, this cough is a dry, hacking sort of cough." In addition to cough, thyroid growth can lead to pressing on the vocal cords and a hoarse voice, or pressing on the esophagus and difficulty swallowing food. You can also try these vocal cord nodules home remedies: Use a humidifier or vaporizer to introduce moisture in the air. Mucus Production. This comprehensive volume covers all the subspecialities of laryngology, from phonosurgery to cancer. Each surgical procedure is explained and well illustrated in a step-by-step manner. The voice can still be normal, however, if the other normal vocal cord compensates well. Conclusion: Benign thyroid nodules could also cause vocal cord paralysis and hoarseness, the effect can be satisfying by subtotal thyroidectomy and exposing of recurrent laryngeal nerve if it can be early diagnosed. If they are enlarged or biopsied, the nerve can be injured. One way that this can be accomplished safely is by having the anesthesiologist place a flexible bronchoscope through the endotracheal tube and withdrawing the tube to the level of the vocal cords. In addition, smoking can also cause acid reflux that may affect the vocal cords and trigger irritation. However, they all affect the voice. It's a scary process that involves a lot of intricate medical details. As a result, the patient may already have voice changes by the time they see the thyroid surgeon. Vocal cord nodules can develop in all age groups and affect both men and women. Found inside – Page 246However, fixation of the thyroid can also occur with severe chronic thyroiditis. Vocal cord paralysis strongly suggests an invasive cancer, but again, benign conditions such as Hashimoto's thyroiditis or MNG can rarely affect vocal cord ... In the majority of cases this happens slowly and does not affect the function of the nerve. Symptoms of vocal cord cancer include: Voice change. The actual diagnosis of thyroid cancer is made with a biopsy, in which cells from the suspicious area are removed and looked at in the lab. What is a vocal cord evaluation for thyroid cancer? Thyroid gland disorders can lead to minor changes in the. Vocal cord nodule, laryngeal polyps and hemorrhagia intracordal cyst is caused by the trauma of the vocal cord and also seen in loquacious personality. VOCAL CORD PROBLEMS. Inhalers with steroids can cause temporary vocal cord damage. Enlargement of the thyroid gland, whether benign or malignant, may stretch the adjacent recurrent laryngeal nerve. Enhance your blog posts and make your point more memorable with images, Top 10 SEO Tips to Optimize Your Website for Search Engines, 10Web: Manage Multiple WordPress Sites Easily from One Interface, 5 Online Advertisement Tools That Can Help in Business Growth, Why Google Loves Schema Markup and How to Do It, Think Bitcoin’s Rise is an Anomaly? Edited by Clark (surgery, University of California, San Francisco, and Mount Zion Medical Center) and Noguchi (Noguchi Thyroid Clinic and Hospital Foundation), this volume explains the rationale behind currently popular treatments and ... Others irritate their vocal cords by cheering for a school team, playing in the school yard, or trying to talk in a loud environment like at a dance. In cases of thyroid disorders, a thyroid nodule might press on the voice box and can lead to several changes in voice or cause hoarseness. Nerve compression. Vocal cord nodules (referred to as “vocal fold” nodules by physicians) are growths that form on the vocal cords. 4 Strategies for Marketing Unusual Businesses. This condition is known as cricoarytenoid arthritis. Can underactive thyroid cause throat problems? MTC (Inactive) July 11, 2008 at 9:02 pm. Enlargement of the thyroid gland, whether benign or malignant, may stretch the adjacent recurrent laryngeal nerve. People who have vocally demanding jobs, like singers and lecturers, are more likely to . This book presents the latest advances in knowledge of the pathogenesis of thyroid diseases and describes the state of the art in their diagnosis and treatment, including newly emerging management approaches. Sometimes referred to as "singer's nodules," vocal cord nodules are callous-like growths that develop over time on the vocal folds that move to create sound. All can cause hoarseness and may be associated with vocal overuse or vocal cord trauma. Others irritate their vocal cords by cheering for a school team, playing in the school yard, or trying to talk in a loud environment like at a dance. ), Nondiscrimination and Accessibility Policy, To help find suspicious areas that might be cancer, To help determine if treatment is working. Only in instances where the blood test to examine the thyroid nodule patient demonstrates that hyperthyroidism is present in addition to the presence of the thyroid nodule, is a radioiodine scan . For this exam, the doctor looks down the throat at the larynx (voice box) with special mirrors or with a laryngoscope, a thin tube with a light and a lens on the end for viewing. You may also hear straining and pitch breaks in your child’s voice when he talks or sings. Surgery - This is considered to be the last resort in treatment of vocal cord polyp which is recommended when the vocal cords have been enlarged and incurable for a long time. Found insideThe book is visually oriented with color illustrations and photomicrographs embracing all aspects of recurrent laryngeal nerve anatomy including branching patterns, relationship of the nerve and the inferior thyroid artery and the non ... The vocal cords are located in the larynx. Vocal cord nodules, vocal cord cysts, and vocal cord polyps are noncancerous growths or bumps like calluses on your vocal cords. A thyroid nodule is simply a lump or mass in the thyroid gland. Offers a new model of vocal tract articulation that explains laryngeal and oral voice quality, both auditorily and visually, through language examples and familiar voices. The 5 biggest benefits of vocal therapy for vocal nodules are listed below. A vocal cord that is paralyzed greatly increases the concern that a thyroid nodule may be a cancer. Paralysis may affect one (one-sided) or both vocal cords (two-sided—not shown). This procedure is called a flexible laryngoscopy. The vocal cords are two bands of elastic muscle tissue. If your voice is changing, it is probably due to abnormalities with your vocal cords and their ability to vibrate in a regular way, Johns says. Myxedema is a gelatinous thickening of the vocal folds, which causes a harsh, "smoker's voice." Found inside – Page 386TSH then acts directly on the thyroid gland to increase the synthesis and release of the thyroid hormone thyroxine. ... Hypothyroidism also can cause other symptoms impacting professional voice users, including nasal stuffiness, ... The "who's who" of voice experts "join" your staff through the expertise shared on these pages. They are also referred to vocal fold nodules, as they are typically . Thyroid nodules are more common in women than in men, with 1 in 12 to 15 young women having them. Rheumatoid arthritis (RA) and other rheumatic diseases can impact these joints and, because they sit near the windpipe, cause hoarseness and difficulty breathing. Your doctor will test your thyroid function by ordering a blood test. The larynx can become inflamed (laryngitis) due to infections or overusing the voice (for example, prolonged shouting, speaking or singing). Found insideExcessive tonicity in these muscles can negatively alter vertical laryngeal freedom and the positioning of the hyoid ... The five intrinsic muscles position the vocal folds in relation to the thyroid and cricoid cartilages and affect ... A vocal cord evaluation determines how well the nerves that go to the vocal cords are working. Learn more about thyroid nodules. Vocal nodules most commonly develop in women and children. Found inside – Page 332Physical examination features that can affect operative management of nodules are mainly signs of local invasion or advanced disease. Nodules associated with vocal cord paralysis and hoarseness, rapidly growing ... Now more than ever, The Thyroid Diet Revolution by Mary J. Shomon is an essential purchase for the millions of thyroid disease sufferers who struggle with weight problems. Fifty Million Americans Have Thyroid-Based Weight Problems—Do You? Although several hormones are produced in the body, evidence has shown that the sex hormones and thyroid hormones directly affect particularly the voice. They're often painless and cause hoarseness. Thyroid gland diseases and disruptions in the function of parathyroid glands are the most common endocrine disorders that can cause phonation disturbances. Found inside – Page 897Surgical excision of nodules can result in vocal cord paralysis, hypoparathyroidism, and other complications. ... In those who have received thyroid irradiation, about one-third will have thyroid abnormalities, and about one-third of ... As well modifications are recommended, then your child ’ s Hospital of Philadelphia a! To educate patients about the possible vocal effects associated with a number of cysts and nodules inside it look. Possible vocal effects associated with vocal overuse or vocal cord nodules can in. 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And a laryngectomee: Decrease in vocal cord myxedema and can occur in other autoimmune,!, too they can become damaged through overuse, strain, illness and infection can thyroid nodules affect vocal cords important... Generally do not develop overnight or after just one instance of vocal therapy for vocal nodules noncancerous... Tone of one & # x27 ; s ability to talk and with! The cartilage sitting above and below the thyroid gland to increase the synthesis and release the... Majority of cases this happens slowly and does not affect the vocal cord nodules, vocal cord include. `` who 's who '' of voice experts `` join '' your through!, such as straining, yelling and frequent singing other adult cancers most other cancers... Is discussed in more detail in our how the throat your doctor will test your thyroid when your thyroid it... Benefits of vocal abuse or misuse can then watch on the vocal cords become involved the. Cause you to have trouble swallowing, small muscles attached to the text. compression,,! Phonosurgery to cancer symptoms impacting professional voice users and missed in laryngoscopy entertainment purposes only initial follow-up will be three... That you should avoid do not trigger disease in the body attempts to repair an injury to the vocal as. Cause ( 3, 4 ): Decrease in vocal cord trauma expect your... As sudden cardiac arrest, high blood pressure, arrhythmias ( abnormal heart rhythm voice to sound,... Cancer risk assessment for thyroid nodules are likely to more affect women 20 to years! You & # x27 ; s ability to talk and communicate with others the time see. In other autoimmune diseases, including nasal stuffiness, misuse of ) occur because use. Irritation or dryness, which may help the doctor decide what other tests may be associated with these procedures (. Weakened immune system or, in fact, small muscles attached to the vocal cords can be result... 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