What factor best explains the prevalence of benign vocal fold lesions in women?

The prevalence of benign vocal fold lesions in women can best be attributed to the rates of vocal fold vibration. Women typically have different vocal fold characteristics compared to men, such as a thinner and more pliable structure, which makes them more susceptible to injury from overuse or misuse. The rates at which vocal folds vibrate can lead to increased strain and tension during phonation, particularly in situations involving frequent or excessive speaking. This can contribute to the development of nodules or polyps on the vocal folds, which are common types of benign lesions.

While other factors, such as daily speaking duration or anatomical differences, can play a role in vocal health, the unique vibratory patterns in women's vocal folds are a significant reason for the higher incidence of these lesions. This understanding helps in addressing prevention and management strategies tailored to the vocal demands placed on women in various contexts.