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These are vocal nodules in a twentysomething vocal overdoer. She works in the food service industry and frequently sings on the job. The images are taken with a KayPentax 70° rigid endoscope at high definition.
Muscle tension dysphonia is frequently used in two completely different ways in laryngology. I made this film in 2007 to distinguish 2 of the 3 ways the term "Muscle Tension Dysphonia" is used in my profession.