Voice & Swallowing Problems

Phonosurgery, a specialised field within laryngology, encompasses a range of surgical techniques aimed at treating disorders of the larynx that affect voice production. The surgical intervention is tailored to optimise vocal function and quality. It encompasses microlaryngeal surgery, injection laryngoplasty, laryngeal framework surgery, recurrent laryngeal nerve reinnervation and laryngeal pacing.

In cases of vocal cord paralysis or paresis, phonosurgery plays a crucial role in restoring vocal cord mobility and symmetry. This condition can result from nerve damage, trauma, or underlying neurological disorders. Surgical interventions may include medialisation procedures, such as thyroplasty or vocal fold injection augmentation, where implants or materials are used to reposition the vocal cord, improve glottic closure, and enhance voice projection. These techniques not only improve voice quality but also aid in swallowing and prevent aspiration, thereby enhancing overall laryngeal function.

Furthermore, phonosurgery is instrumental in managing structural abnormalities that affect voice production and airway patency. Conditions such as laryngeal stenosis, webs, or scar tissue from previous surgeries or injuries can cause significant voice changes and airway obstruction. Surgical techniques, including laryngeal reconstruction or microsurgical excision, help restore normal anatomy and function, ensuring optimal respiratory and vocal outcomes for patients.

Beyond structural and benign conditions, phonosurgery also addresses malignant lesions of the larynx, including early-stage laryngeal cancers. Surgical excision or resection of tumours, often performed using microsurgical techniques and sometimes in conjunction with radiation or chemotherapy, aims to eradicate cancerous tissue while preserving as much healthy laryngeal function as possible.