Endolaryngeal Microsurgery (Vocal Cord Polyps and Nodules)

Endolaryngeal microsurgery, also called microlaryngoscopy or phonosurgery, removes small benign growths from the vocal cords: polyps, cysts, stubborn nodules, Reinke's oedema and papillomas. The surgeon works through the mouth under a microscope, with no external cuts. Myringoplasty, which this page title once also named, is eardrum repair and is covered on the tympanoplasty page.

The aim is a clearer, less effortful voice and a tissue diagnosis. Surgery does not correct the voice habits that often caused the lesion, which is why voice therapy before and after matters as much as the operation.

What Endolaryngeal Microsurgery (Vocal Cord Polyps and Nodules) involves

You are fully asleep with a narrow breathing tube. A rigid hollow metal tube, the laryngoscope, is passed over the tongue to expose the vocal cords and is held in a fixed position. Looking through an operating microscope, the surgeon uses instruments around 20 cm long with tips of 1 to 2 mm. A tiny cut is made beside the lesion, the polyp or cyst is lifted off the underlying vocal ligament, and the healthy lining is preserved and laid back. A CO2 or other laser may be used instead of cold instruments. Every specimen is sent for pathology.

Who is a good candidate for Endolaryngeal Microsurgery (Vocal Cord Polyps and Nodules)?

Surgery is considered after a voice specialist has examined the cords with stroboscopy.

• A vocal cord polyp or cyst, which rarely resolve with therapy alone
• Nodules that persist after at least 6 to 8 weeks of proper voice therapy
• Reinke's oedema in a smoker who has stopped smoking
• Recurrent respiratory papillomatosis
• Any suspicious patch that needs biopsy, especially in smokers with hoarseness lasting over 3 weeks

Es ist normalerweise nicht die richtige Wahl, wenn:

• Soft nodules in singers, teachers or children, which usually respond to voice therapy
• People who cannot rest their voice afterwards
• Continuing smokers with Reinke's oedema, in whom it returns
• Severe neck stiffness or limited mouth opening, which may prevent exposure of the larynx
• Hoarseness due to muscle tension or nerve paralysis, which needs different treatment

Technikoptionen

• Cold steel microflap surgery: Micro-scissors and forceps preserve the delicate vibrating layer. Standard for polyps and cysts.
• CO2 or KTP laser: Useful for papillomas, blood vessel lesions and selected early cancers.
• Office-based laser or injection: Selected lesions can be treated awake through a flexible scope under local anaesthetic.
• Microdebrider: Used for bulky papillomas.

Was passiert während Ihrer Behandlung

The procedure lasts 20 to 45 minutes under general anaesthetic and is normally a day case. Afterwards you may have a sore throat, a tender tongue or jaw from the laryngoscope, and a rough voice. Pain is usually mild.

Vorbereitung auf Ihre Reise

Planen Sie 5 bis 7 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Most surgeons ask for strict voice rest for 2 to 7 days: no talking, whispering or throat clearing. Voice use is then built up gradually under a speech and language therapist. Drink plenty, avoid smoke and treat any acid reflux. The voice is often worse before it is better and takes 4 to 8 weeks to settle; professional voice users may need 2 to 3 months before full performance. Desk work can resume in a few days if it involves little speaking.

• Back to everyday activity: Voice rest up to 1 week; light voice use for a month
• When results show: Voice settles over 4 to 8 weeks
• How long they last: Durable if the cause is addressed

Sicherheit, Risiken und Revisionspolitik

The vocal cord lining is only fractions of a millimetre thick, so the main risk is scarring.

• Scarring of the vocal cord with a permanently rough or weak voice
• Recurrence, especially if voice habits, smoking or reflux continue
• Chipped or loosened teeth from the laryngoscope
• Temporary numbness of the tongue or altered taste
• Airway swelling or bleeding, which is rare
• An unexpected pathology result needing further treatment

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Endolaryngeal Microsurgery (Vocal Cord Polyps and Nodules) in Türkiye

Clinic-Y does not publish a single price for Endolaryngeal Microsurgery (Vocal Cord Polyps and Nodules), because the honest figure depends on your case. What moves it:

• Cold instruments versus laser
• One or both vocal cords
• Stroboscopy and voice assessment beforehand
• Voice therapy sessions, which are best continued at home in your own language
• Pathology

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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