Co-articulated consonant consonant such as is doubly or secondarily articulated. In some English dialects, for example, is a labialized velar that could be transcribed as , but the Japanese is closer to a true labial-velar, . It is common usage to restrict the letter to the former. The glottis controls phonation, and works simultaneously with many consonants. It is not normally considered an articulator, and an ejective such as , with simultaneous closure of the velum and glottis, is not normally considered to be a co-articulated consonant. Co-articulated consonant Co-articulated consonants or complex consonants are consonants produced with two simultaneous places of
Vocal cord nodule fold nodules are most often characterized as bilaterally symmetrical whitish masses, and tend to form at the midpoint of the vocal folds. Nodules may prevent complete closure of the glottis, also known as glottal closure, and their presence may lead to an hourglass-shaped glottal closure. Voice problems may result from the presence of vocal fold nodules. They are diagnosed based on the presence of perceptual features not explicable by other causes. Such symptoms include: vocal fatigue, breathiness, loss of high pitch notes, lack of vocal control, or increased phonatory effort (i.e. increased effort to produce speech). For individuals who work