Vocal Cord Surgery

Voice stands out as an indispensable element of communication and self-expression in human life. Beyond words, we express ourselves through the tone, strength, and vibrations of our voice, which carry our emotions. Through a song, we share our feelings; with a speech, we influence masses; or by simply saying “hello,” we establish new connections. However, sometimes our voice can be damaged for various reasons. Issues like hoarseness, voice weakening, or even complete voice loss affect not only our voice but also our quality of life. Thankfully, there are effective solutions for these problems, one of which is vocal cord surgery.

Vocal Cord Surgery: Reshaping Your Voice with Precision

Vocal cord surgery refers to surgical procedures applied to the vocal cords or related anatomical structures. The primary aim of these interventions is to address issues with voice production, improve voice quality, or reshape the voice when necessary. Vocal cord surgery is often preferred to address functional disorders caused by congenital structural problems, trauma, or diseases. But what are the details of this surgical method, and why is it so important? Let’s take a closer look.

What is Vocal Cord Surgery, and Why is it Performed?

Vocal cord surgery is a specialized surgical field aimed at resolving physical or functional issues in the vocal cords. The human voice plays a vital role in expressing an individual’s identity, emotions, and thoughts. Any deterioration in voice quality is not just a physiological problem but also impacts the individual’s psychological well-being and social life.

Main Objectives of Vocal Cord Surgery

  • Improving Voice Quality: Ensuring the voice comes out smoother, stronger, and more naturally.
  • Resolving Functional Issues: Addressing problems like incomplete vocal cord closure, vibration disorders, or loss of mobility.
  • Correcting Structural Problems: Removing physical deformities such as nodules, polyps, cysts, or scarring.
  • Voice Modification: Changing the tone of the voice for aesthetic or functional reasons (e.g., transitioning to a thinner or deeper voice in gender affirmation processes).

Applications of Vocal Cord Surgery

Vocal cord surgery is used in various medical conditions and diseases. Here are the most common applications of this surgery:

Structural Disorders

  • Nodules: Hard tissue outgrowths formed on the vocal cords due to excessive and improper voice use.
  • Polyps: Soft, fluid-filled swellings that develop on the vocal cords due to trauma or irritation.
  • Cysts: Small fluid sacs formed within the vocal cords, disrupting their vibration.

These structural problems can cause the voice to sound hoarse, rough, or weak. If untreated, they may lead to permanent damage.

Vocal Cord Paralysis
Loss of movement can occur in one or both vocal cords, usually due to nerve damage. This condition can significantly affect speech ability and may also make breathing difficult.

Voice Tone Alteration
In some cases, especially during gender transition processes, individuals may wish to change their voice tone. Vocal cord surgery provides an effective solution to make the voice thinner or deeper.

Trauma or Injuries
Damage to the vocal cords caused by accidents or surgical procedures can result in complete voice loss or significant distortion. In such cases, vocal cord surgery plays a crucial role in restoring the voice.

The Process of Vocal Cord Surgery

Vocal cord surgery requires meticulousness and expertise. The process typically includes the following stages:

Assessment and Diagnosis
Before surgery, the patient’s voice condition is thoroughly evaluated. Methods used during this phase include:

  • Videolaryngostroboscopy: A specialized technique to visualize the movements and vibrations of the vocal cords.
  • Voice Analysis: Measuring characteristics of the voice, such as frequency, strength, and roughness.
  • Patient History: Evaluating voice usage habits, previous health issues, and professional needs.

Surgical Intervention
Vocal cord surgery is usually performed under general anesthesia, and the surgical technique varies depending on the patient’s condition:

  • Microlaryngoscopy: Precision interventions are made using a microscope to access the vocal cords.
  • Laser Surgery: Polyps or nodules are removed using laser technology.
  • Injection Laryngoplasty: Strengthening or correcting the voice by injecting fillers (e.g., hyaluronic acid) into the vocal cords.
  • Thyroplasty: Adjusting the position and tension of the vocal cords to modify the voice tone.

Recovery Process
Post-surgical recovery is crucial. During this period, attention should be given to the following:

  • Voice Rest: Avoid speaking or use the voice minimally during the first few weeks.
  • Voice Therapy: Learn proper speaking techniques with a specialist to retrain the voice.
  • Diet and Lifestyle: Avoid acidic and spicy foods; completely refrain from smoking and alcohol consumption.

Benefits of Vocal Cord Surgery

Vocal cord surgery offers significant physical and psychological benefits:

  • Improved Voice Quality: Enhances self-confidence and communication skills.
  • Better Social and Professional Life: A stronger and clearer voice enables individuals to be more effective in their daily and professional lives.
  • Long-Term Solutions: Structural problems are resolved, leading to permanent improvements.

Risks and Side Effects

Like any surgical procedure, vocal cord surgery carries some risks. However, these risks can be minimized by an experienced surgeon:

  • Temporary hoarseness or voice changes.
  • Swelling and mild bleeding.
  • Rare cases of permanent vocal cord damage.

Choosing the right surgeon and proper surgical planning are vital for minimizing risks.

Who Are Suitable Candidates for Vocal Cord Surgery?

Vocal cord surgery may not be suitable for everyone. However, it can be an effective solution for individuals with the following conditions:

  • Persistent hoarseness that does not improve over time.
  • Voice sounding hoarse, weak, or fatigued.
  • Professionals who rely heavily on their voice (e.g., teachers, singers, broadcasters).
  • Individuals who wish to alter their voice tone.

Conclusion: Give Your Voice the Value It Deserves

Voice is not just a communication tool but a reflection of your identity. Vocal cord surgery restores life to your voice by addressing problems with the vocal cords. If you are experiencing a persistent voice problem, consult a specialist to regain your health. Remember, a healthy voice is the key to expressing yourself and enjoying life!

Prof. Dr. Gediz Murat Serin

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    Prof. Dr. Gediz Murat Serin