Our Summary

This research paper discusses a surgery involving the thyroid, which is performed through the mouth. The researchers noticed that two female patients developed small, abnormal growths (granulomas) on their vocal cords after this surgery. They believe these growths were caused by the breathing tube used during the surgery pressing against the vocal cords. One of the women was treated with medication and voice therapy, which reduced the size of the granuloma, while the other had it surgically removed. Both women’s symptoms improved after these treatments. The researchers suggest adjusting the placement of the breathing tube during surgery to avoid irritating the vocal cords and potentially causing these growths.

FAQs

  1. What is the cause of the granulomas on the vocal cords after thyroid surgery?
  2. What are the possible treatments for granulomas on the vocal cords post-surgery?
  3. How do researchers suggest preventing the formation of granulomas on the vocal cords during thyroid surgery?

Doctor’s Tip

A doctor might tell a patient undergoing vocal cord surgery to avoid speaking or whispering for a period of time following the procedure to allow the vocal cords to heal properly. They may also recommend voice therapy to help improve vocal quality and prevent any potential complications or further damage to the vocal cords. Additionally, staying well-hydrated and avoiding irritants such as smoking and excessive yelling can help support the healing process and maintain vocal cord health.

Suitable For

Patients who are typically recommended vocal cord surgery include those with:

  1. Vocal cord nodules, polyps, cysts, or other benign vocal cord lesions that are affecting their voice quality and causing symptoms such as hoarseness, breathiness, or vocal fatigue.

  2. Vocal cord paralysis or weakness, which can lead to difficulty speaking or swallowing, aspiration (food or liquid entering the airway), or breathing problems.

  3. Laryngeal cancer, which may require surgical removal of part or all of the vocal cords as part of treatment.

  4. Spasmodic dysphonia, a neurological condition that causes involuntary muscle spasms in the larynx and affects speech.

  5. Vocal cord trauma or injury, such as from intubation during surgery or a traumatic event.

  6. Chronic laryngitis or other inflammatory conditions of the vocal cords that have not responded to other treatments.

  7. Some patients with severe acid reflux (laryngopharyngeal reflux) that is causing significant damage to the vocal cords.

It is important for patients to undergo a thorough evaluation by an otolaryngologist (ENT) or laryngologist to determine if vocal cord surgery is the best course of treatment for their specific condition. The risks, benefits, and potential outcomes of the surgery should be carefully discussed with the patient before proceeding.

Timeline

  • Pre-surgery: The patient will meet with their healthcare provider to discuss the need for vocal cord surgery, go through pre-operative evaluations, and receive instructions on how to prepare for the surgery.

  • Day of surgery: The patient will undergo the vocal cord surgery, which may involve removing abnormal growths, repairing vocal cord injuries, or other procedures. The surgery is typically performed under general anesthesia.

  • Post-surgery: The patient will be monitored in the recovery room and may experience some discomfort, pain, or hoarseness in their voice. They will be given instructions on how to care for their vocal cords post-surgery, including voice rest and avoiding activities that may strain the vocal cords.

  • Follow-up appointments: The patient will have follow-up appointments with their healthcare provider to monitor their progress, discuss any concerns or complications, and receive guidance on vocal cord rehabilitation, which may include voice therapy.

  • After recovery: The patient may experience improvements in their voice quality, range, and function. Some patients may require ongoing voice therapy or additional treatments to fully restore their vocal cords. It is important for the patient to follow their healthcare provider’s recommendations for post-operative care and vocal cord rehabilitation to achieve the best possible outcomes.

What to Ask Your Doctor

  1. What is the purpose of the vocal cord surgery and what outcome can I expect?

  2. What are the potential risks and complications associated with this surgery?

  3. How experienced are you in performing this specific type of vocal cord surgery?

  4. Will I need to undergo any tests or preparations before the surgery?

  5. What is the recovery process like and how long will it take for me to fully recover?

  6. Are there any potential long-term effects of this surgery on my voice or vocal cords?

  7. How soon after the surgery can I expect to see improvement in my voice?

  8. Are there any alternative treatments or procedures that I should consider before opting for vocal cord surgery?

  9. How can I prevent complications such as granulomas from developing on my vocal cords after the surgery?

  10. What steps will be taken during the surgery to ensure the breathing tube does not irritate my vocal cords?

Reference

Authors: Liang TJ, Wang NY, Liu SI, Chen IS. Journal: BMC Anesthesiol. 2021 Jun 14;21(1):170. doi: 10.1186/s12871-021-01393-8. PMID: 34126924