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Laryngeal issues can cause breathing problems & vocal fold issues simultaneously. Book an appointment with expert ENT doctors for minimally invasive microlaryngeal surgery for long-term relief.
Laryngeal issues can cause breathing problems & vocal fold issues simultaneously. Book ... Read More
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ENT/ Otorhinolaryngologist
Microlaryngeal surgery is a very successful and effective treatment for a variety of laryngeal conditions. It is also known as phonomicrosurgery and microlaryngoscopy, and can be performed traditionally or using a laser. The surgery is performed using a microscopic laryngoscopy to minimize the incisions, scarring and chances of complications.
Larynx denotes the upper windpipe and constitutes of the voice box and vocal cords, so laryngeal conditions like vocal cord polyps, nodules, etc., can severely impact the patient’s voice. This is why the surgery needs to be as minimally invasive as possible.
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Microlaryngoscopy is performed for the diagnosis and removal of a variety of laryngeal lesions, like cancerous nodules, cysts, papilloma, polyps, etc., without affecting the patient’s vocal ability. It is also required for patients suffering from acute trauma or chronic irritation to the larynx. It is also performed during laryngeal biopsy to determine whether a lesion is benign or malignant.
The surgery can be a little complex and can potentially lead to severe ramifications for the patient’s everyday life. Therefore, before the surgery, every patient should be given thorough education regarding the risks and benefits of the surgery. If the patient is a smoker, then they should quit the habit to ease the hoarseness and irritation of the vocal folds.
Before the surgery, a thorough diagnosis is necessary to ensure the efficacy of the treatment plan in managing the patient’s symptoms. Diagnosis before microlaryngeal surgery is generally based on direct or indirect visualization via a mirror or laryngoscope. In case cancer is suspected, biopsy of the lesion is also recommended before surgery planning.
The surgery is generally performed under general anesthesia to avoid surgical trauma to the patient. Following anesthesia, the patient is adjusted in suitable operative position. The surgery is performed through the nasal or oral cavity to avoid external incisions. The laryngoscope (operative microscope) is inserted and microlaryngeal instruments or laser devices are used to remove the laryngeal lesions. Finally, the cuts are closed and bandaged as needed, and the patient is moved to the recovery room.
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Microlaryngeal surgery is the most effective and minimally invasive treatment for the diagnosis and treatment of a variety of vocal fold lesions such as cancer, cysts, papilloma, polyps, and Reinke’s edema. It also provides effective management for acute or chronic trauma to the vocal cords.
Most patients also need surgery intervention if they have dysphonia (poor voice quality), dysphagia (difficulty in swallowing), or stridor (abnormal, high-pitched, musical breathing sound) due to airway obstruction.
The surgery takes only an hour and the patient is able to go home within 24 hours of the surgery. Most patients do not suffer any major complications after the surgery. They may have slight pain and discomfort, but that is usually managed through over-the-counter medications. You can resume work within a couple of days, especially if your job doesn’t require speaking too much.
The surgery is performed very carefully and with minimal cuts to ensure no damage occurs to the oral or vocal tissues. However in some cases, it can result in complications like:
Out of these, the most problematic complication is vocal fold scar as it can affect the voice quality and necessitate further treatment for the patient. You should consult the doctor if you notice any signs of complications such as difficulty breathing, sore throat, difficulty in swallowing (worse than before the surgery), fever, etc.
Following the surgery, the patient should follow the given recovery and precautionary tips to improve recovery and prevent complications:
