Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Vocal nodules, microwebs, and surgery

M S Benninger1, B Jacobson

  • 1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA.

Journal of Voice : Official Journal of the Voice Foundation
|September 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Venous thromboembolism prevention in South Africa: Bridging the gap between guidelines and practice.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2025
Same author

The Use of venous thromboembolism prophylaxis in relatioN to patiEnt risk profilINg (TUNE IN) Wave 3 study.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2025
Same author

Thrombosis and bleeding outcomes with warfarin conversion to rivaroxaban during the COVID-19 pandemic.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2025
Same author

Right heart echocardiography findings in hypoxic pneumonia patients during the COVID-19 pandemic in a South African population.

European heart journal. Imaging methods and practice·2024
Same author

Toward an integrated multi-gigahertz ionizing particle diagnostic.

The Review of scientific instruments·2024
Same author

The J&J COVID-19 vaccine: Fit for purpose in our setting.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2021
Same journal

Reliability of Auditory-Perceptual Voice Evaluation: An Investigation of GRBAS Scale Reproducibility Among Expert Raters.

Journal of voice : official journal of the Voice Foundation·2026
Same journal

Vocal Health of Pastors in the Protestant Church in Germany.

Journal of voice : official journal of the Voice Foundation·2026
Same journal

Assessment of the Motor Speech Profile Tremor Analysis in Vocal Tremor Diagnosis.

Journal of voice : official journal of the Voice Foundation·2026
Same journal

Psychometric and Acoustic Investigation of Identity and Phonotraumatic Vocal Hyperfunction.

Journal of voice : official journal of the Voice Foundation·2026
Same journal

"I Go but I Don't Participate": A Scoping Review With Thematic Synthesis of the Experiences of Voice Disorders in Adulthood.

Journal of voice : official journal of the Voice Foundation·2026
Same journal

Voice Changes in Laryngeal Intraepithelial Neoplasia and Nonneoplastic Lesions.

Journal of voice : official journal of the Voice Foundation·2026
See all related articles

Voice nodules are treatable with voice therapy, with surgery rarely needed. Anterior commissure microwebs are uncommon but may indicate a higher risk of treatment failure.

Area of Science:

  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Vocal nodules are typically managed non-surgically by voice professionals.
  • Anterior commissure microwebs have been anecdotally linked to treatment-resistant vocal nodules.

Purpose of the Study:

  • To investigate the prevalence of anterior commissure microwebs in patients with vocal nodules.
  • To assess the impact of microwebs on treatment outcomes for vocal nodules.

Main Methods:

  • Evaluation of 115 consecutive patients diagnosed with vocal nodules.
  • Identification and documentation of anterior commissure microwebs.
  • Analysis of treatment outcomes, including voice therapy and surgical intervention.

Main Results:

  • Anterior commissure microwebs were identified in 7% of patients (8/115), with 4 occurring in performers.

Related Experiment Videos

  • Of 96 patients with follow-up, 68% achieved complete nodule resolution and 18% improved sufficiently with non-surgical treatment.
  • 94% of all patients regained normal voice function; failures were linked to lack of or noncompliance with voice therapy.
  • All 8 patients with microwebs experienced nodule resolution through non-surgical or surgical means.

    • Conclusions:

    • Anterior commissure microwebs are infrequent in vocal nodule patients.
    • Microwebs may be associated with a higher rate of conservative voice therapy failure.
    • Most vocal nodules are successfully treated with voice therapy, with surgery reserved for rare cases.