Acute trauma or chronic irritation causes changes in the vocal cords that can lead to polyps, nodules, or granulomas. All cause hoarseness and a breathy voice.Large glottic web comprising most of the vocal folds, after removal of large smoker's polyps and surgeon-directed voice rest for 21 days There may be frequent voice breaks, easy vocal fatigue with use or there may be a decreased range of vocal sounds. Pain is another symptom that is felt as a shooting pain from ear to ear, general neck pain or as a lump in the throat. Patients may also experience frequent coughing, throat clearing, or general fatigue.Vocal cord nodules are growths that form on the vocal cords. These bumps are benign (noncancerous) and are similar to calluses that can form on the hands.Anything that makes it harder for the vocal folds to vibrate can cause a voice problem. Vocal fold nodules are growths that form on the vocal folds. They are benign, or not cancerous. When you use your voice the wrong way, your vocal folds may swell. More than half of patients presenting with hoarseness show benign vocal fold changes.