Phonosurgery refers to a range of highly specialized surgical procedures designed specifically to improve, restore, or enhance the human voice. These delicate operations address structural problems within the larynx (voice box) to improve vocal quality, function, and stamina. At ENT Central in Palmerston North, Dr. Naveed Basheeth, a specialist in voice disorders, provides expert phonosurgical care tailored to your unique vocal anatomy and needs.
What is the difference between phonosurgery and voice therapy?
Voice therapy is a behavioural treatment, like physiotherapy for your voice, that teaches you how to use your vocal mechanism more efficiently. Phonosurgery is a structural treatment that physically repairs or alters the voice box. They are not mutually exclusive and are often used together to achieve the best possible results.
Does “voice surgery” mean I will have a scar on my neck?
Not always. Many common phonosurgical procedures, such as microlaryngeal surgery and injection laryngoplasty, are performed through the mouth (endoscopically) and leave no external scars. Procedures to reposition the vocal cords, like thyroplasty, do require a small, well-hidden incision in a natural skin crease of the neck.
My voice is weak and breathy from paralysis. Can surgery help?
Yes, this is one of the primary indications for phonosurgery. Procedures such as injection laryngoplasty or laryngeal framework surgery (thyroplasty) are specifically designed to move a paralysed vocal cord closer to the other one, allowing them to close more completely. This results in a stronger, less breathy, and more functional voice.
How do I know which type of voice surgery I might need?
The correct procedure is determined only after a comprehensive voice evaluation, which includes a detailed examination of your larynx (laryngoscopy) to assess its structure and function. Dr. Basheeth will diagnose the specific problem causing your voice change and discuss the most appropriate surgical and non-surgical options with you.