What Is Microlaryngeal Surgery?

Microlaryngeal surgery is a state-of-the-art technique performed through the mouth to operate on the larynx. While you are under general anaesthesia, a specialized instrument called a laryngoscope provides a clear, direct view of your vocal cords. An operating microscope is then used to create a highly magnified, three-dimensional image, allowing for exceptional surgical precision. Using specialized micro-instruments or a laser, Dr. Basheeth can meticulously remove or repair abnormalities such as vocal cord nodules, polyps, cysts, or pre-cancerous lesions. This approach is the gold standard for treating many vocal cord issues, as it ensures that healthy surrounding tissue is preserved.

Microlaryngeal surgery operating room at ENT Central

Is Microlaryngeal Surgery the Right Option for Me?

Microlaryngeal surgery may be recommended if you have a diagnosed vocal cord lesion or persistent voice problems that haven't responded to other treatments. It may be the right option if you have:

  • A diagnosed vocal cord polyp, nodule, or cyst
  • Persistent hoarseness that has not improved with voice therapy
  • Suspected pre-cancerous or early cancerous changes on a vocal cord
  • The need for a definitive biopsy of a laryngeal lesion
  • A desire to improve your vocal quality, stamina, and comfort
  • Been advised that surgery is the best path forward after a full voice evaluation
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Microlaryngeal surgery microscope at ENT Central

What Are the Benefits of Microlaryngeal Surgery?

  • Exceptional surgical precision and control
  • Minimally invasive approach with less tissue disruption
  • No external incisions or visible neck scars
  • Maximum preservation of healthy vocal cord tissue
  • Significant improvement in voice quality and function
  • Effective and definitive removal of vocal cord lesions
  • Provides a precise sample for diagnostic biopsy
  • Quick, efficient, and targeted procedure
  • Reduced post-operative discomfort
  • A clear pathway to better vocal health

How Is Microlaryngeal Surgery Different From Other ENT Services?

Microlaryngeal surgery is distinct from both diagnostic laryngoscopy and behavioural voice therapy because it is an operative procedure designed to physically treat a lesion. While a standard laryngoscopy is performed to view and diagnose a condition, microlaryngeal surgery uses a high-powered microscope and specialized instruments to perform therapeutic work on the delicate vocal cords. This level of intervention offers a definitive structural solution for problems that cannot be resolved by therapy alone.

Does Recovery After Microlaryngeal Surgery Take Long?

While physical recovery is typically fast, vocal recovery requires very specific care. The most critical component of your recovery is a period of absolute voice rest. This means no speaking, whispering, coughing, or clearing your throat for a duration advised by Dr. Basheeth. This silence is essential as it allows the delicate vocal cords to heal properly without irritation. Following this, a gradual and guided return to voice use, often with the support of a speech language therapist, is crucial for achieving the best possible long-term vocal outcome.

Why Choose Dr. Naveed Basheeth: Excellence in Microlaryngeal Surgery Care

Dr. Naveed Basheeth is an internationally fellowship-trained ENT surgeon with subspecialty expertise in laryngology and the treatment of voice disorders. His extensive experience in performing delicate microlaryngeal surgery ensures the highest level of precision, with a primary focus on preserving and enhancing your vocal function. Trust Dr. Basheeth for state-of-the-art surgical care that prioritizes the health and quality of your voice.

Microlaryngeal Surgery FAQs

Why is voice rest after surgery so important?

Will I have a scar on my neck after the surgery?

How long does the surgery typically take?

Will my voice be perfect after surgery?

Why is voice rest after surgery so important?

Absolute voice rest is crucial because speaking causes the vocal cords to vibrate, which can disrupt the healing process, much like rubbing a wound. Allowing the vocal cords to remain still prevents scarring and ensures the delicate tissues heal smoothly, which is essential for achieving the best voice result.

Will I have a scar on my neck after the surgery?

No. Microlaryngeal surgery is performed entirely through the mouth using a laryngoscope. There are no external cuts or incisions, so there will be no visible scarring on your neck.

How long does the surgery typically take?

The procedure itself is usually quite quick. Depending on the complexity of the lesion being treated, the surgery often takes between 30 and 60 minutes to complete.

Will my voice be perfect after surgery?

The primary goal of surgery is a significant improvement in your vocal quality, comfort, and stamina. The final outcome depends on the nature of the initial problem, your adherence to post-operative instructions (especially voice rest), and your engagement in any recommended voice therapy. Most patients experience a substantial and satisfying enhancement of their voice.

Referral Pathway: We provide online consultations within two weeks of referral for out-of-town residents. Relevant investigations, radiological and laboratory, can be undertaken in the patient's city. Private and outsourced referrals can be sent to: admin@entcentral.co.nz (347) 557-8368.
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