Cyst A small, organized mass that can occur on the free edge of the vocal fold or in the body of the vocal fold. Speech becomes difficult to understand because too much air is coming through the nose. Hypernasality may be accompanied by nasal gurgitation during swallowing. Hyponasality A change in voice quality due to consistent closure of the nasal cavity.
Voice quality sounds like the person has a severe cold.
Hyponasality may be due to obstruction of the throat by large adenoids or tonsils or may result from nasal or palatal abnormality. Laryngeal Web View larger image of laryngeal web . A tethering together of the front of the vocal folds. Children may be born with a congenital laryngeal web or a laryngeal web may occur following surgery or intubation. May result in breathy vocal quality, higher pitch, and shortness of breath.