Microlaryngoscopic Vocal Cord Nodule Excision (Cold Instruments/CO₂/KTP)

Surgery may be considered after specialist assessment when vocal cord nodules cause persistent hoarseness and vocal fatigue, and still affect work or life after voice therapy and conservative treatment. The decision often considers the size and location of the lesion, its impact on vibration, previous treatment response, professional voice needs, overall health, and anesthesia assessment.