Osborne Head and Neck Institute Case Presentation:
The patient is a 24 year old female who has noted a 5 year history of progressive worsening of her voice. She was examined by an ENT who told her that she had nodules and that she should rest her voice. She did not notice any improvement but stated that she had to sing and so she continued to use her voice as much as she could. She sings exclusively gospel-style music, but had kept her singing to what she felt was a comfortable range. She presented for a second opinion when she noticed increased difficulty with projection and vocal fatigue.