II. Risk Factors
- Children (screamers)
- Cheerleaders
- Singers
- Workers in noisy environments
- Teachers
- Lawyers
III. Symptoms
- Hoarseness
- Upper Neck Pain
- Pharyngitis
- Symptoms exacerbated by speaking, screaming or singing
IV. Signs: Vocal cord findings
- Vocal Cord Nodules ("Singers Nodules")
- Vocal Cord Polyps (associated with smoke exposure)
- Contact ulcers
V. Management
- Maximize rest
- Maintain adequate hydration over 64 ounces per day
- Avoid provocative factors
- Avoid breathing polluted air
- Avoid Tobacco or Marijuana
- Avoid Alcohol or drugs
- Avoid loud speaking (sporting event, bar, airport)
- Do not vocalize while Yawning
- Avoid constant throat clearing
- Avoid excessive whispering
- Avoid modifying natural speaking voice
- Avoid excessive voice use during Laryngitis
- Avoid exacerbating medications
- Corticosteroids
- Drying medications
- Coffee
- Tricyclic Antidepressants