Cancers and other conditions that develop in the voicebox, or larynx, may not be commonplace, but they do present unique challenges related to preserving a patient’s voice.
Laryngeal surgery is generally recommended for laryngeal cancer, which affects the aerodigestive tract. This tract includes the upper digestive and respiratory organs, such as the mouth, vocal cords, nose, throat, and windpipe. Aerodigestive-related conditions usually appear as a sore throat, or difficulty speaking, swallowing, or breathing. Some of these illnesses can be treated with medicine, while others require surgery.
People who have benign aerodigestive tract lesions such as polyps, nodules, and cysts can sometimes be removed by surgery. Vocal professionals such as singers, teachers, public speakers, and sales people tend to have high incidence of these lesions.
Evaluation usually uses a team-based approach. Patients generally meet with an otolaryngologist and a speech pathologist for a comprehensive evaluation. These evaluations may also include pulmonary, neurology, and GI specialists.
An assessment includes a comprehensive history and physical exam to check for issues such as nerve compression or thyroid gland problems. It also includes a laryngeal examination to look at the patient’s larynx and throat. One of the most common diagnostic tests is a Fibreoptic laryngoscopy. For this procedure, the doctor inserts a thin, flexible fiberscope through the nose or mouth into the throat.
The procedure can be performed in the office with local anesthesia.
Phonosurgery of the vocal cord. This minimally invasive surgery uses special lasers to treat diseases of the vocal cord, including benign lesions, cancer of the vocal cord, and tumors. Surgery is performed in an operating room under general anesthesia and usually lasts 60 to 90 minutes, depending on the case. Patients generally go home the same day. The vocal cords produce sound and are responsible for character of the voice, so there are many techniques we use to remove the disease, but we always try to maintain or restore the voice.
Surgery for laryngeal disorders is considered very safe, and the risk depends on the procedure. With framework surgery and implants, such as a thyroplasty, there can be complications related to surgery and general anesthesia, such as bleeding or infection. The biggest risk with phonosurgery is scarring. One of the complicated things about surgery on the larynx is that if it scars, it will change the character of the voice.So the surgery has to be very delicate.
Our team is trained to minimize trauma to the vocal cords and to preserve or restore the voice.
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