A vocal _____ is a benign growth on the vocal folds caused by vocal misuse.

A vocal nodule is a benign growth on the vocal folds that results from vocal misuse or overuse, typically associated with excessive strain on the vocal cords. These nodules often appear symmetrical and develop at the junction of the anterior one-third and posterior two-thirds of the vocal folds. They are commonly known as "teacher’s nodules" or "singer’s nodules" because they frequently occur in individuals who rely heavily on their voices, such as educators and performers.

Nodules are often the result of chronic irritation and tension on the vocal folds, leading to a thickened area of tissue. This alteration in the vocal fold structure can impact voice quality, typically causing a breathy or hoarse sound, and can result in voice fatigue.

In contrast, other options like cysts and polyps have different characteristics and origins. Cysts are fluid-filled sacs that can develop on the vocal folds due to various reasons, including mucous retention. Polyps, while also benign, can emerge from a single incident of vocal trauma and usually present as a unilateral (one-sided) growth. Granulomas, on the other hand, are inflammatory lesions that often result from trauma or excessive coughing rather than vocal misuse specifically. Understanding these distinctions is important for diagnosing