Speech production the larynx that then is modified by the vocal tract into different vowels and consonants. However speech production can occur without the use of the lungs and glottis in alaryngeal speech by using the upper parts of the vocal tract. An example of such alaryngeal speech is Donald Duck talk. The vocal production of speech may be associated with the production of hand gestures that act to enhance the comprehensibility of what is being said. The development of speech production throughout an individual's life starts from an infant's first babble and is transformed into fully developed speech by the age
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