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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 ...
These conditions result from continuous damage to the laryngeal nerves [4] [3] and often lead to vocal disability. [6] Recurrent laryngeal nerve damage is the most common cause of vocal fold paresis. [4] The RLN is responsible for motor input to the vocal folds. [4] Physicians may also use the term recurrent laryngeal nerve paralysis. [19]
Various techniques, such as laser surgery or conventional surgical instruments, may be employed based on the severity of the stenosis and the patient's specific requirements. Typically performed under general anesthesia, arytenoidectomy necessitates hospitalization for postoperative observation and recovery.
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 ( hoarseness ) or loss of voice ( aphonia ) and cause problems in the respiratory tract .
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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 ]
Adverse effects include dry mouth and blurry vision. Care must be taken when handling the patch, as transfer of medication to the eye can induce pupillary dilation. Avoid use in elderly patients. Medications include scopolamine. Glucocorticoids have direct antiemetic effects and can reduce need for postoperative opioids. Adverse effects include ...
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]