If there is voice change,how long it has been there?
Any difficulty in swallowing food, weight loss, breathing problems?
Any smoking history.
Need a detailed history.
If a teeth carries or ulcer or pharyngitis is there ,even then lymph node enlargement will be there
Next Steps
laryngeal examination to be done .
node if it's palpable,hard , FNAC should be done.
Health Tips
watch for other symptoms like throat pain,cough,blood in sputum, weight loss
if it's due to voice overuse,take voice rest.