Voice & Swallowing Problems

Microlaryngeal surgery is a specialised surgical technique used to diagnose and treat disorders of the larynx (voice box) and adjacent structures. It involves the use of magnification and specialised instruments including laryngoscopes to perform precise interventions on delicate laryngeal tissues. Sampling of suspicious lesions or tissues for pathological examination (biopsy) can also be performed. In some cases, lasers (such as the CO2 laser) may be used during microlaryngeal surgery for precise cutting, vaporisation, or coagulation of tissues.

This surgical procedure (for about half an hour) is typically performed under general anaesthesia or occasionally under local anaesthesia with sedation, depending on the complexity of the procedure and patient factors. The surgeon inserts a laryngoscope into the patient's mouth to gain access to the larynx. The laryngoscope may be rigid or flexible, depending on the specific technique and patient anatomy. Using microsurgical techniques and instruments, the surgeon performs the necessary procedures, which may include biopsy, lesion removal, vocal cord manipulation, or reconstruction. Throughout the procedure, the surgical team monitors the patient's vital signs and ensures optimal conditions for surgical success and patient safety.

Microlaryngeal surgery offers precise treatment of laryngeal disorders, potentially improving voice quality, restoring airway function, and addressing underlying pathology. It can effectively treat benign lesions of the vocal cords like vocal cord nodules, vocal cord polyps and vocal cord cysts; Reinke's oedema (polypoid corditis), early-stage laryngeal cancer, scar tissue and fibrosis; vocal cord paralysis; and other conditions like laryngeal papillomas, laryngeal stenosis or web and airway issues.