NEET-PG 2018 — ENT

Question 1: Which of the following is true regarding Singer's nodule?

• A. Laser therapy is treatment of choice
• B. It occurs at junction of anterior 1/3rd and posterior 2/3rd (Correct Answer)
• C. Requires excision as its potentially malignant
• D. Most common symptom is pain

Explanation: ***Correct: It occurs at junction of anterior 1/3rd and posterior 2/3rd*** **Singer's nodules**, also known as **vocal cord nodules**, are typically found at the junction of the **anterior one-third and posterior two-thirds** of the true vocal cords. This area experiences the most vibratory stress and contact during phonation, making it prone to trauma from vocal abuse, leading to the formation of bilateral benign lesions. *Incorrect: Laser therapy is treatment of choice* **Voice therapy** is the **first-line treatment** for Singer's nodules, aiming to modify vocal behaviors and reduce vocal strain. **Surgery**, including laser therapy or microlaryngeal excision, is reserved for cases that do not respond to conservative voice therapy and when nodules significantly impair vocal function. *Incorrect: Requires excision as its potentially malignant* Singer's nodules are **benign lesions** with no malignant potential. They are not considered premalignant and do not undergo malignant transformation. Surgical excision is considered only if voice therapy fails after adequate trial and the nodules continue to cause significant dysphonia. *Incorrect: Most common symptom is pain* The most common symptom associated with Singer's nodules is **hoarseness** or **dysphonia** (altered voice quality). The voice may sound breathy, rough, or strained. **Pain is generally not a prominent symptom** of vocal cord nodules, which helps differentiate them from other laryngeal pathologies like laryngitis or vocal cord polyps with inflammation.