|
Suspension microlaryngoscopy is the gold standard treatment for a large number of lesions of the voice box. Polyps, cysts, scar tissue, and sometimes nodules can be resected under high power magnification. Specialized techniques of microflap excision minimize surrounding damage to the vocal cords and allow for excellent healing with return of the normal singing or speaking voice. There are minimal complications and little discomfort
from the surgery. Voice rest is typically required for 1 week after surgery. Voice therapy
with a specialized speech pathologist with a classical singing background is essential both before and after surgery for full recovery with an optimal performing voice.
People with a paralyzed vocal cord often have a breathy, weak voice; in addition, they may aspirate - have food or liquid go into the lungs. Vocal Fold medialization surgery can help to close the voice box, provide a stronger, more natural voice, and help prevent
aspiration. This can be accomplished by an injection of material into the vocal folds to help push them together. This injection is either performed in the office under topical anesthesia, or in the operating room. Another procedure requires a small incision over
the Adam's apple and the placement of a small implant to push the paralyzed vocal fold toward the midline. Both are short surgeries, easily tolerated, and often with a great result.
As we age, so do our vocal folds. They become weak, atrophy, and as a result, vocal
quality deteriorates. In addition, constant overuse, abuse, and misuse, especially seen in voice professionals, speakers, and older people can lead to a decreased vocal quality. For the rest of our body, plastic cosmetic surgery can help restore a natural, youthful
appearance. Now there is a way to help restore our voices to a more natural, youthful, relaxed quality. The Voice Lift involves an injection of implant material into the lateral part of the vocal cord. This helps add increased substance to the vocal cord and
diminishes the effort needed to obtain vocal fold closure and thus voice. This is performed in the office under topical anesthesia, or in the hospital setting.
Microlaryngoscopy is a procedure that means the vocal folds are looked at in great detail with magnification. The magnification may be with a microscope, endoscope or by video enlargement. It is often accompanied by some additional procedure such as removal of a mass, swelling or tumor. Long delicate instruments or a laser may be utilized. It is sometimes performed in the office, though more typically it is performed in the operating room.
Vocal fold injection is used to treat unilateral vocal fold paralysis by injecting material into the paralyzed vocal fold. This pushes the paralyzed fold to the middle so that when the normal fold closes there is no gap. For this procedure the patient is put to sleep with a general anesthetic and a special scope is put into the throat so that the injection can be performed. There are several things that can be used for vocal fold injections, these include your own fat or synthetic materials. Some injections can be performed with local anesthesia.
A surgical technique designed to improve the voice by altering the cartilages of the larynx (the voice box), which houses the vocal folds (the vocal cords) in order to change the position or length of the vocal folds.
Digital Video stroboscopy is available in our clinic for the analysis of vocal complaints. This advanced laryngeal imaging system utilizes endoscopic visualization (use of flexible and rigid telescopes to look at the voicebox) and stroboscopy (high speed flash lamp) to generate high-quality, detailed video and still images of the larynx. Based on the diagnosis, medications, speech therapy, or surgical procedures may be recommended by the physician.
TransNasal Esophagoscopy (TNE) is a technique of endoscopically examining the esophagus with an ultra thin flexible endoscope that is passed via the nose into the esophagus.
|
