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General ENT··7 min

Voice Care: Guide for Professionals Who Use Their Voice Daily

Teachers, singers, speakers and professionals who depend on their voice need special care. Discover how to prevent vocal problems.

Professional voice care and laryngoscopy

Voice is a fundamental tool for millions of professionals: teachers, singers, actors, speakers, call center workers, doctors and many more. However, vocal abuse can lead to problems affecting your career and quality of life.

What are vocal cords?

Vocal cords are two folds of tissue located in the larynx that vibrate as air passes, producing sound. Their proper function requires:

  • Adequate hydration
  • Good vocal technique
  • Proper rest
  • Absence of irritants

Common vocal problems in professionals

Functional dysphonia

Voice alteration without structural lesion, caused by:

  • Vocal overexertion
  • Poor technique
  • Muscle tension
  • Stress

Vocal nodules

"Calluses" on the vocal cords caused by chronic abuse. More common in:

  • Teachers
  • Singers
  • Sports coaches

Vocal polyps

Benign lesions that appear due to:

  • Acute vocal trauma (shouting)
  • Smoking
  • Gastroesophageal reflux

Reinke's edema

Diffuse swelling of vocal cords associated with:

  • Smoking
  • Chronic vocal abuse
  • Hormonal changes

Warning symptoms

Consult an ENT if you have:

  • Persistent hoarseness (more than 2 weeks)
  • Vocal fatigue: Tiredness when speaking
  • Pain when speaking: Throat or neck discomfort
  • Loss of vocal range: Difficulty with high/low notes
  • Broken voice: Involuntary pitch changes
  • Foreign body sensation: "Something" in the throat

Golden rules for voice care

1. Hydration

Drink 2-3 liters of water daily

  • Keeps vocal cords lubricated
  • Avoid excess caffeinated drinks
  • Use humidifier in dry environments

2. Vocal technique

Learn to use your voice correctly

  • Breathe from the diaphragm
  • Don't force your voice
  • Avoid speaking in noisy environments
  • Use microphone when possible

3. Vocal rest

Give your voice recovery time

  • Avoid excessive talking outside work
  • Rest voice after intense use
  • Get enough sleep (7-8 hours)

4. Avoid irritants

Protect your vocal cords

  • Don't smoke (including vaping)
  • Limit alcohol
  • Avoid smoky or polluted environments
  • Properly treat reflux

5. Vocal warm-up

Prepare your voice before using it

  • Do vocalization exercises
  • Start with low volume
  • Gradually increase intensity

Vocal hygiene exercises

Diaphragmatic breathing

  1. Place hand on abdomen
  2. Inhale through nose (abdomen expands)
  3. Exhale slowly through mouth
  4. Repeat 10 times

Resonance

  1. Hum softly
  2. Feel vibration in lips and nose
  3. Vary pitch gradually
  4. Maintain neck relaxation

Vocal range

  1. Start at comfortable mid-pitch
  2. Go up gradually (do-re-mi...)
  3. Go down gradually
  4. Don't force extremes

Treatment of vocal problems

Specialized evaluation

The ENT will perform:

  • Laryngoscopy: Direct visualization of vocal cords
  • Stroboscopy: Vibration analysis
  • Acoustic analysis: Objective voice measurement

Treatment options

Voice therapy (speech therapy) First line of treatment Vocal re-education Specific exercises Relaxation techniques Medical treatment

  • Reflux control
  • Anti-inflammatories (selected cases)
  • Allergy treatment

Surgery (microlaryngoscopy) Only when necessary:

  • Polyps
  • Nodules not responding to therapy
  • Suspicious lesions

Prevention for voice professionals

If your work depends on your voice:

  • Annual preventive vocal evaluation
  • Vocal technique training
  • Vocal ergonomics at work
  • Stress management
  • Constant hydration

Conclusion

Your voice is your work instrument. Caring for it is not optional, it's essential. Most vocal problems can be prevented with good habits and treated effectively when detected early. If you notice changes in your voice, don't wait. Early evaluation can make the difference between quick recovery and a chronic problem.

FF
Dra. Fátima Fanjul
ENT specialist in rhinology and rhinoplasty in Marbella and Málaga

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