Our Summary

This research paper talks about a new treatment method for voice box (larynx) problems. Currently, surgery is used to enlarge the opening between vocal cords (glottal enlargement), but it has limitations. An alternative approach is to stimulate a nerve in the larynx (recurrent laryngeal nerve) with electricity. This method requires a healthy connection (reinnervation) between the nerve and at least one vocal cord. Even though this connection is often irregular or functions differently than normal (aberrant or synkinetic reinnervation), it helps in the successful use of laryngeal pacemakers. These pacemakers are devices that help regulate nerve signals to improve vocal cord function. The paper suggests that new diagnostic tools are needed to identify patients who would benefit from the use of these laryngeal pacemakers. The tools would be used to test for a healthy nerve-to-vocal cord connection.

FAQs

  1. What is the potential benefit of using electrical stimulation in treating vocal fold paralysis/paresis?
  2. Why is the presence of aberrant or synkinetic reinnervation essential for the effective clinical performance of laryngeal pacemakers?
  3. What new diagnostic tools are needed to ensure the effective selection of patients who can profit from laryngeal pacemakers implantation?

Doctor’s Tip

One helpful tip a doctor might give a patient about vocal cord surgery is to follow post-operative care instructions carefully, including avoiding speaking or whispering for a period of time as recommended by the surgeon. This will allow the vocal cords to heal properly and reduce the risk of complications or delayed recovery. It is also important to attend all follow-up appointments and voice therapy sessions as scheduled to optimize the outcome of the surgery.

Suitable For

Vocal cord surgery is typically recommended for patients with conditions such as vocal fold paralysis or paresis, vocal nodules or polyps, vocal cord cysts, vocal cord hemorrhage, and laryngeal cancer. These patients may experience symptoms such as hoarseness, difficulty breathing, voice fatigue, and changes in voice quality. Surgery may be recommended to improve vocal function, alleviate symptoms, and prevent further complications.

Timeline

Before vocal cord surgery:

  1. Patient experiences symptoms such as hoarseness, difficulty speaking or singing, and vocal fatigue.
  2. Patient consults with an otolaryngologist who performs a thorough evaluation of the vocal cords using laryngoscopy and other diagnostic tests.
  3. Otolaryngologist recommends vocal cord surgery as a treatment option for conditions such as vocal cord paralysis or polyps.

After vocal cord surgery:

  1. Patient undergoes vocal cord surgery, which may involve procedures such as vocal cord injection, medialization laryngoplasty, or nerve reinnervation.
  2. Patient experiences a period of recovery, which may involve voice rest and speech therapy to help improve vocal function.
  3. Patient gradually regains vocal strength and clarity as the vocal cords heal and the effects of the surgery take full effect.
  4. Otolaryngologist monitors patient’s progress through follow-up appointments and may recommend additional treatments or adjustments to optimize vocal function.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with vocal cord surgery?

  2. How successful is the surgical procedure in restoring vocal function?

  3. What is the recovery process like after vocal cord surgery?

  4. How long will it take for me to regain full vocal function after the surgery?

  5. Are there any alternative treatments or therapies available for my vocal cord condition?

  6. How experienced are you in performing vocal cord surgery?

  7. What are the potential long-term effects of vocal cord surgery?

  8. Will I need speech therapy or other rehabilitation after the surgery?

  9. How will the surgery impact my ability to speak, sing, or perform other vocal activities?

  10. Are there any lifestyle changes or precautions I should take after vocal cord surgery?

Reference

Authors: Mueller AH, Pototschnig C. Journal: Otolaryngol Clin North Am. 2020 Feb;53(1):145-156. doi: 10.1016/j.otc.2019.09.009. Epub 2019 Oct 21. PMID: 31648825