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The loss of voice and of normal and efficient verbal communication is a negative consequence associated with this type of surgery and can have significant impacts on the quality of life of these individuals. [20] [21] Voice rehabilitation is an important component of the recovery process following the surgery. Technological and scientific ...
The two main methods of treating vocal fold nodules are voice therapy (a behavioural treatment) and laryngeal microsurgery (a surgical treatment). [17] Because of general risks of surgery (e.g. scar formation, or those posed by general anesthesia [17]), behavioural treatment is usually recommended first. [17]
The recurrent laryngeal nerves may be injured as a result of trauma, during surgery, as a result of tumour spread, or due to other means. [16]: 12 Injury to the recurrent laryngeal nerves can result in a weakened voice or loss of voice and cause problems in the respiratory tract.
During surgery, attempts are made to preserve as much vocal fold tissue as possible, [3] given that glottal insufficiency (a gap in the vocal folds) is a possible consequence of surgery. [15] Vocal fold tissue can be preserved during surgery by raising a micro-flap, removing the cyst, then laying the flap back down. [ 15 ]
A superior laryngeal nerve palsy changes the pitch of the voice and causes an inability to make explosive sounds due to paralysis of the cricothyroid muscle. If no recovery is evident three months after the palsy initially presents, the damage is most likely to be permanent. A bilateral palsy presents as a tiring and hoarse voice.
Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10]
Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST), is essentially a Flexible Endoscopic Evaluation of Swallowing (FEES) procedure with a formal sensory test (also known as laryngopharyngeal sensory testing) protocol included used to elicit the Laryngeal Adductor Reflex (LAR) directly using air pulses or direct touch with an endoscope.
Patients are recommended to follow perioperative management such as voice rest to hasten recovery. Typically, the surgical procedure could shift the lower limit of the patients' vocal range upward, with little to no effect on the higher end of the vocal range, and reduce the patient's vocal weight and resonance by reducing the size of the larynx .