Microlaryngeal Surgery

Introduction : It is a procedure that allows us to look at your larynx (voice box) and the surrounding area.

Indications : It provides more information about your voice box than can be gathered in the clinic. It may also incorporate treatment of certain conditions. If your voice is hoarse, the procedure enables your doctor to find out why. He/she may treatit there and then – for example, if you were found to have nodules on your vocal cords. The doctor can check if you have a growth on your larynx; and if so, assess its extent and take biopsies so that treatment can be planned. If your doctor is concerned that you may have agrowth on the voice box, then it is advisable that yougo ahead with the procedure, as early diagnosis ofcancer in this area is leads to a much better chanceof cure. There is no good alternative to taking biopsy tissue to be sure what type of growth is present – which determines what the best treatment is.

Technique : You will be asleep under general anaesthesia. A metal telescope is inserted into your mouth and down the throat untilthe doctor can see your larynx. A microscope is then used toget a better view through the telescope. Because the telescope is metal and passes over your teeth, there is a small risk that a tooth may be damaged during theprocedure. If you have any caps, crowns or loose teeth pleaselet your doctor know before the procedure. Sometimes a laser is used to treat conditions through thetelescope. Your doctor will normally discuss this with you if it islikely to be used in your case. Microlaryngoscopy takes about half an hour, depending on thereason it is being done.

Stay in hospital :You will go home on the day of your operation, as long as theoperation is straightforward and we think that your generalstate of health and home circumstances are suitable.

Postoperative Care : Most patients feel their throat is sore after this procedure. Thisusually only lasts a couple of days. Simple painkillers such asparacetamol are normally enough, along with drinking plenty offluids. Sometimes steam inhalations are helpful.
This depends on what you have had done. You will need atleast 48 hours off work to recover from the anaesthetic, andduring this time you should not drive or operate machinery.
You may have to rest your voice for anything from two days toone week, which may affect when you can return to work. It isbest to ask your doctor when you are in the clinic what theyrecommend so that you can make arrangements. Please ask your nurse when you come in to hospital if youneed a sick note.
If you have been advised to rest your voice, you should make sure you have a pen and paper to hand at all times, so youcan communicate with family or friends. If a situation ariseswhere you have to speak, it is better to use a normal voicerather than a whisper.

What is microlaryngoscopy?
It is a procedure that allows us to look at your larynx (voice box) and the surrounding area.
What anaesthesia given for procedure?
General anaesthesia.
What is time required for procedure?
Half an hour.
What is postoperative care?
Strict voice rest and painkillers for throat pain.