Our Summary

This research paper focuses on the study of lung cancer surgery and the problems that can occur with the vocal cords after the operation. The researchers have used a method called ‘post-operative laryngeal endoscopic assessment’ to study these issues. This technique involves using a thin tube with a light and camera at the end, called an endoscope, to examine the larynx (part of the throat containing the vocal cords) after surgery. The main focus is on vocal cord dysfunction, which is when the vocal cords do not open or close properly, causing voice changes or breathing difficulties.

FAQs

  1. What is the connection between lung cancer surgery and vocal cord dysfunction?
  2. What is the purpose of a post-operative laryngeal endoscopic assessment?
  3. What could be potential complications after vocal cord surgery?

Doctor’s Tip

After vocal cord surgery, it’s important to rest your voice and avoid speaking loudly or for extended periods of time. Follow your doctor’s instructions for vocal rest and rehabilitation exercises to help strengthen your vocal cords and improve your voice quality. It’s also important to stay hydrated and avoid irritants like smoking or excessive caffeine, as these can affect your vocal cords’ healing process. If you experience any persistent hoarseness, difficulty speaking, or other concerning symptoms, be sure to follow up with your doctor for further evaluation.

Suitable For

Patients who are typically recommended vocal cord surgery are those who have conditions such as vocal cord nodules, polyps, cysts, or paralysis. Other conditions that may require vocal cord surgery include laryngeal cancer, vocal cord hemorrhage, or severe vocal cord dysfunction. Additionally, patients who have not responded to conservative treatments such as voice therapy or medications may also be candidates for vocal cord surgery.

Timeline

Before vocal cord surgery:

  1. Patient meets with a physician or ENT specialist to discuss symptoms and potential treatment options.
  2. Patient undergoes a thorough evaluation, which may include a physical exam, imaging studies, and possibly a laryngoscopy to assess the vocal cords.
  3. The decision is made to proceed with vocal cord surgery, either for a benign condition such as vocal cord nodules or polyps, or for a more serious condition such as vocal cord cancer.
  4. Pre-operative preparation includes instructions on fasting, medication management, and potential risks and complications of the surgery.

After vocal cord surgery:

  1. The patient undergoes the vocal cord surgery, which may involve procedures such as vocal cord injection, laser surgery, or phonosurgery.
  2. Post-operative care typically involves a period of rest and voice rest to allow the vocal cords to heal.
  3. Follow-up appointments are scheduled to monitor the healing process and assess vocal cord function.
  4. Speech therapy may be recommended to help the patient regain normal voice function and prevent complications such as vocal cord scarring or dysfunction.
  5. Long-term follow-up is important to monitor for any recurrence of the underlying condition or new vocal cord issues.

Overall, the timeline for a patient before and after vocal cord surgery can vary depending on the specific condition being treated and the type of surgical intervention performed. Close communication with the healthcare team is key to ensuring a successful outcome and optimal recovery.

What to Ask Your Doctor

  1. What is the specific reason for recommending vocal cord surgery?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the success rate of this type of surgery for my condition?
  4. What is the recovery process like and how long does it typically take?
  5. Will I need speech therapy or other rehabilitation after the surgery?
  6. Are there any alternative treatments or procedures that could be considered instead of surgery?
  7. How will the surgery impact my ability to speak or sing?
  8. Will I need to make any lifestyle changes or follow any restrictions after the surgery?
  9. How often will I need follow-up appointments after the surgery?
  10. What is the expected outcome or prognosis after the surgery?

Reference

Authors: Liam CK. Journal: Respirology. 2018 Jan;23(1):10-11. doi: 10.1111/resp.13172. Epub 2017 Sep 12. PMID: 28901032