Our Summary
This research paper is about the surgical treatment of vocal cord paralysis. The best surgical approach depends on how severe the condition is, if there’s a chance for natural recovery, and the patient’s age and voice needs. The paper discusses two promising surgical methods: one for one-sided paralysis and one for two-sided paralysis.
For one-sided paralysis, they connect a loop of nerve in the neck to the nerve that controls the voice box. This method has potential for long-lasting voice improvement and could be better than current surgeries because it keeps the vocal cord flexible and stops it from wasting away.
For two-sided paralysis, they selectively rewire the nerves. This method could help restore the ability to open the vocal cords while breathing in, improving lung function without making the voice worse. Both methods are being tested in ongoing studies.
FAQs
- What factors determine the best surgical approach for treating vocal cord paralysis?
- How does the surgical method for one-sided paralysis potentially improve voice function?
- What are the potential benefits of the surgical method for two-sided paralysis?
Doctor’s Tip
In order to ensure the best outcome after vocal cord surgery, it is important to follow your doctor’s post-operative care instructions closely. This may include voice rest, avoiding whispering, staying hydrated, and attending speech therapy sessions to help retrain your voice. It is also important to attend all follow-up appointments to monitor your progress and address any concerns that may arise. By following these recommendations, you can help optimize your recovery and improve your vocal function in the long term.
Suitable For
Patients who are typically recommended vocal cord surgery include those with severe vocal cord paralysis that significantly impacts their ability to speak, breathe, or swallow. Patients who have not seen improvement with non-surgical treatments such as voice therapy or medications may also be candidates for surgery. Additionally, patients who have specific voice needs, such as singers or professional speakers, may benefit from surgical intervention to improve vocal function.
It is important for patients to undergo a thorough evaluation by a multidisciplinary team of otolaryngologists, speech therapists, and other specialists to determine the most appropriate surgical approach for their individual case. The decision to undergo vocal cord surgery should be carefully weighed against the potential risks and benefits, as well as the patient’s overall health and treatment goals.
Timeline
Before vocal cord surgery, a patient may experience symptoms such as hoarseness, difficulty speaking or swallowing, shortness of breath, and a weak or breathy voice. They may undergo various diagnostic tests such as laryngoscopy, electromyography, and imaging studies to determine the cause and severity of their vocal cord paralysis.
After vocal cord surgery, the patient will typically undergo a period of rest and voice therapy to help improve their vocal function and strengthen their voice. They may experience temporary changes in their voice, such as hoarseness or breathiness, as the vocal cords heal. Over time, with proper care and rehabilitation, the patient should experience improved vocal function and quality of life. Follow-up appointments with the surgeon and speech therapist will be necessary to monitor progress and make any necessary adjustments to the treatment plan.
What to Ask Your Doctor
Some questions a patient should ask their doctor about vocal cord surgery include:
- What are the potential risks and complications associated with the surgical treatment of vocal cord paralysis?
- How long is the recovery process after vocal cord surgery and what can I expect during this time?
- Will I need speech therapy or other forms of rehabilitation after the surgery?
- How successful is the surgical treatment for vocal cord paralysis in terms of improving voice quality and function?
- Are there any alternative treatment options available for vocal cord paralysis that I should consider?
- What is the expected outcome of the surgery in terms of restoring vocal cord function and improving overall quality of life?
- How experienced are you in performing vocal cord surgery and what is your success rate with this procedure?
- Will I need to undergo additional surgeries or follow-up procedures in the future?
- How long will the effects of the surgery last and are there any long-term considerations I should be aware of?
- Can you provide me with any additional resources or information about vocal cord surgery to help me make an informed decision about my treatment options?
Reference
Authors: Salati V, Beharry A, Fries S, Sandu K, Gorostidi F. Journal: Rev Med Suisse. 2020 Oct 7;16(709):1845-1848. PMID: 33026725