Vocal cord polyp removal

Treatment requires modification of voice habits, and a speech therapy may be recommended. Vocal rest for several weeks may permit the nodules to shrink. Children occasionally present with screamer's voice nodules and these can be treated by voice therapy alone. Inhaled steroid spray may be helpful in some cases. Sometimes biopsy and surgical removal are necessary for the polyp removal.

Some preventive practices include; proper use of the voice to eliminate strain, avoid screaming and loud talking, speak at a normal pitch, reduce the neck tension by gently tipping the head forward and to each side while keeping the shoulders down.

Cold steel instrumentation and carbon dioxide laser is the surgical interventions available for the treatment of polyps. But both techniques have the known potential to cause scarring with disruption of the lamina propria. A sub epithelial micro flap resection technique is in use which gives specific attention to the sub epithelial pathology. This method preserves the overlying epithelial cover, while removing the underlying polypoid tissue via a super lateral cordotomy approach.

Surgery for Vocal Chord Paralysis

The voice returns without treatment in some cases. The doctors often delay corrective surgery for a few months. During this time, voice therapy is suggested, involve exercises to strengthen the vocal folds or improve breath control during speech. A speech-language pathologist helps the patients to talk in different ways. The other method for treating vocal fold paralysis involves surgery. Bulk is added to the paralyzed vocal fold by the otolaryngologist by injecting a substance into the paralyzed cord. Other substances currently used are collagen, a structural protein; silicone, a synthetic material; and body fat. Gelfoam injections contain a gelatin powder mixed with saline, and effectively treats paralyzed vocal cord for 4 – 12 weeks. The added bulk decreases the space between the vocal folds in order for the non-paralyzed fold to make closer contact with the paralyzed fold and thus improve the voice. Another method of adding bulk to the vocal fold is by cutting a small window in the throat through the thyroid cartilage, and then implanting a silicone block. A more complex procedure permanently shifts a paralyzed fold closer to the center of the airway may improve the voice. The surgeon may manipulate the arytenoid cartilage, the muscles of the vocal fold, the cricoarytenoid joint, or other parts of the larynx to reposition the fold, depending on the individual's condition. Some procedures address the length and tension of the fold. Voice therapy post operations helps to fine-tune the voice.

The treatment of two paralyzed vocal folds may involve performing a vocal cord surgery called a tracheotomy to help breathing. An incision is made in the neck and a tracheotomy tube is inserted through a hole in trachea. The patient now breathes through the tube. They may need speech-language therapy to learn how to care for the breathing tube properly and how to reuse the voice. Surgery for Unilateral Vocal Cord Paralysis involves Laryngoplasty. This surgery repositions the paralyzed vocal cord and is the most precise way to achieve a permanent better voice. A non-absorbable medical-grade implant is inserted to push the paralyzed vocal cord into better position for speaking in medialization Laryngoplasty. This technique has greater accuracy in vocal cord re-positioning than a vocal cord injection alone because the implant can be dynamically manipulated during the operation. Depending on the severity of the unilateral vocal cord paralysis, some patients require special additional surgeries like adduction arytenopexy or cricothyroid subluxation. This is done as supplemental surgeries in combination with a medialization Laryngoplasty.
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