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Vocal cord nodule
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=== Surgery === When behavioural treatments have been deemed ineffective for a voice user, [[Surgery|surgical]] intervention is often considered.<ref name=":0" /> Surgical treatments are considered in cases of unresolved [[dysphonia]] which negatively impacts the patient's [[quality of life]].<ref name="Simpson & Rosen 2008 Vocal Fold Nodules"/> Removal of vocal fold nodules is a relatively safe and minor surgery{{Citation needed|date=November 2018|reason=Reliable source needed for the whole sentence}}. However, those who sing professionally or otherwise should take serious consideration before having surgery as it can affect the ability to sustain [[phonation]], as well as alter the [[vocal range]].<ref name=pmid8903451>{{cite journal |last1=Benninger |first1=Michael S. |last2=Alessi |first2=David |last3=Archer |first3=Sanford |last4=Bastian |first4=Robert |last5=Ford |first5=Charles |last6=Koufman |first6=James |last7=Sataloff |first7=Robert T. |last8=Spiegel |first8=Joseph R. |last9=Woo |first9=Peak |title=Vocal fold scarring: Current concepts and management |journal=Otolaryngology–Head and Neck Surgery |volume=115 |issue=5 |pages=474–82 |year=1996 |pmid=8903451 |doi=10.1016/S0194-5998(96)70087-6 }}</ref> While the patient is subdued under general anesthesia, long thin scissors and scalpels or CO<sub>2</sub> surgical lasers might be used to remove the nodules.<ref name=pmid8903451/> Microsutures are sometimes used to close the [[Wound|incision]].<ref name=pmid8903451/> Vocal rest for a period of 4 to 14 days is recommended post surgery to facilitate healing.<ref name=pmid14631179/>
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