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Why is Mariah Carey able to sing despite vocal nodules?

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From what I understand, nodules or any other type of bump on the vocal folds won't *necessarily* cause any major problem unless they are big enough to prevent enough closure of the vocal folds for a good clear sound, and/or significantly interfere with the their symmetry as they vibrate. For many singers, it apparently doesn't. It seems that other factors (allergies, reflux, tension issues, etc.) can make any issue at the level of the vocal folds less or more noticeable.

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