“…Call center operators present the following risk factors: background noise, poor environmental acoustics, poor air quality, inadequate body posture, as well as symptoms of vocal fatigue, dysphonia, vocal effort, throat pain, throat tightness, dry throat, pain in the back of the neck and in the neck, hoarseness, voice breaks, loss of volume, burning sensation and throat clearing (19,23,25,26) . According to the literature, the increase of voice problems in call center operators ultimately affects their productivity, as well as, their interaction with their family and friends (10,19,26) . The increase of voice problems in call center agents may cause the development of lesions by means of vibratory stress on the vocal folds mucosa, such as hemorrhage, and afterwards a nodular or polypoid reaction, since the high degree of talkativeness and vocal loudness are related to vocal fold lesions.…”