Small laryngeal nodes may clinically have the following causes. 1. congenital, born with small laryngeal nodes, this may be a characteristic inherited from the parents. Such patients, if traced, may be parents or grandparents, and may not have large laryngeal nodes. It is difficult to make changes in the genetic inheritance later in life, and there is no need for treatment and handling. 2. Some patients have thicker necks, fatter bodies and extra fat on the neck, such patients will appear to have smaller laryngeal nodes. In this case, there is no abnormality in the vocal function of the patient, and no special attention is needed clinically. 3. Some patients may not have much androgen secretion, androgen level disorders, etc., resulting in the development of the laryngeal nodes is not very obvious, in this case, you can go to the endocrinology department or the relevant reproduction department to check the hormone level test to see if there is any abnormality. If the patient has abnormalities, you can carry out the relevant symptomatic treatment. Of course, some patients with male and female voice and hoarseness, or abnormal voice quality should also be given attention and treatment as soon as possible.