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Reasons NOT to Recommend Surgical Removal

Tendency to Recur

Difficult to modify a child’s vocal behavior

Often remain abusive in the postoperative period

Vocal Nodules often Spontaneously Resolve near Puberty

Cheerleaders may be the exception

Even when Vocal Nodules Persist, It is possible to improve voice quality with voice therapy (Koufman, n.d.)

Possibility of Scar Tissue and/or Anesthetic Complications

(Pannbacker, 1999)

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