Smoking and drinking dramaticallt increases the results. Pulips-Fluid filled sacs on the vocal folds. Pitch, Loudness, and Quality Disorders Pitch can be either to high or too low. Being too high is a disorder common in males and being too low is a disorder common in females. Pitch disorders may be caused by a growth or added mass to the vocal folds.
Loudness can be either too loud or too soft.
Being too loud may be the result of hearing loss. Being to soft could be the result of nodules keeping the vocal folds from closing all the way. Quality disorders may be the result of either nodules or paralysis. Hypernasality is often caused when hearing loss is involved and the person can not monitor themself. It is also caused by the presence of a cleft palate, or short velum.