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Voice Restoration Surgery (Thyroplasty)

Voice Restoration Surgery (Thyroplasty)

A�thyroplasty�is a procedure performed to help correct vocal cord weakness.� Patients with vocal cord�weakness may have a weak, breathy voice and speaking may require considerable effort. Because the vocal folds cannot close completely during swallowing, the patient may also experience coughing and choking while eating or drinking.��

The most common cause of vocal cord paralysis or paresis (partial weakness) is partial injury to the recurrent�laryngeal nerve.� This nerve is responsible for controlling the intrinsic muscles of the larynx. This can be caused from trauma, surgery, viral infection or other causes. Occasionally a person who has suffered a stroke can develop a vocal cord paralysis.

BRIEF ABOUT THE PROCEDURE

The most effective treatment of vocal cord weakness is a thyroplasty on the side of the nerve injury.� This is an operation performed through a small incision in the skin near the larynx.� A small piece of thyroid cartilage is removed and a small block of silastic (medical grade plastic) is hand- carved and secured into the cartilage.� This block acts as a shim that pushes the vocal fold to midline to improve vocal cord closure.��

A thyroplasty is a relatively quick and painless procedure and is usually performed under local anesthetic with sedation.� This anesthesia technique allows the surgeon to fine-tune the patient’s voice by making minor modifications in the�thyroplasty implant.� After the silastic block�is created and placed into position, a�fiberoptic scope�is inserted through the patient’s nose so that the surgeon can observe the placement of the block.� The patient may be asked to speak so that the surgeon can observe the movement of the vocal cords.� In approximately one�third of�patients, an implant is required in the opposite vocal cord to help strengthen the good side as well.

The procedure requires 1-2 hours to complete.� After the procedure, the patient is taken to the Recovery Room for observation and then admitted over night to observe the airway.� The patient is discharged from the hospital the following day.

TIPS ON RECOVERY

After Surgery: Patients should avoid heavy lifting or strenuous activity for one week. Rest the voice by using “confidential” voice. “Confidential voice” is a technique in which one speaks at a comfortable pitch and loudness and refrains from yelling or whispering. It is important to drink plenty of liquids. The incision should remain dry until the sutures have been removed.

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HOSPITALS FOR VOICE RESTORATION SURGERY (THYROPLASTY)

Few Popular Hospitals for Voice Restoration Surgery (Thyroplasty) are:

DESTINATIONS FOR VOICE RESTORATION SURGERY (THYROPLASTY)

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