Microlaryngeal Surgery

Microlaryngeal surgery is a common and generally safe procedure done by ear, nose, and throat (ENT) specialists.

When Is Surgery Needed?

Surgery for vocal issues is not often needed because most voice problems can be treated with medication or voice therapy. However, surgery is necessary in some cases:

Benign lesions: If there are cysts or polyps on the vocal cords that don't respond to other treatments.
Suspected cancer: If there are lesions on the larynx that might be cancerous, a biopsy or treatment is required.

What is Microlaryngeal Surgery?

Microlaryngeal surgery is a minimally invasive procedure used to biopsy and remove granulomas and benign cysts from the larynx. It's also used to diagnose or treat laryngeal cancer and other vocal issues. 

Procedure: The surgery is usually done under general anesthesia to prevent gagging or breathing problems. Most patients go home the same day.
Recovery: Patients recover faster than with traditional laryngeal surgery and tend to have better voice quality afterwards.

How is the Surgery Performed?

A laryngoscope, which is a thin, lighted tube with a camera, is used to see the area clearly. The surgeon inserts the laryngoscope through the nose into the throat and uses tiny surgical tools to remove the abnormal growth. Only the damaged tissue is removed, protecting the surrounding area from harm.

After the Surgery

Observation: Patients are monitored for a few hours after surgery and then sent home.
Pain Management: Some discomfort is normal, but over-the-counter pain medications usually help. In severe cases, a corticosteroid might be prescribed.
Acid Reflux Medication: This may be given to protect the healing tissue from stomach acid.
Voice Rest: Complete voice rest is needed for the first few weeks.
Voice Therapy: This is often recommended after surgery to help improve and maintain voice quality.

Risks

While microlaryngeal surgery is very safe, there are some risks, such as:

Reaction to Anesthesia or Medication: Some patients might have an adverse reaction.
Respiratory Issues: Especially in patients with existing heart or lung problems.
Pressure from Laryngoscope: This can cause pain or numbness in the tongue or lips, and rarely, damage to the teeth.