Microlaryngeal Surgery: Minimally Invasive Intervention on the Vocal Cords
Microlaryngeal surgery is a minimally invasive surgical technique used to treat nodules, polyps, cysts, or other pathologies on the vocal cords. This precise procedure aims to preserve and improve voice quality and is typically performed using a microscope and delicate surgical instruments.
When Is Microlaryngeal Surgery Performed?
- Benign lesions such as nodules, polyps, or cysts on the vocal cords
- Reinke’s edema and vocal fold thickening
- Vocal cord trauma or damage from overuse
- Recurrent hoarseness and chronic laryngitis
- Vocal cord paralysis or restricted movement
- Structural or functional disorders affecting voice quality
Early diagnosis and surgical intervention are crucial for preserving vocal health if any issue is detected in the vocal cords.
How Is Microlaryngeal Surgery Performed?
- It is performed under general anesthesia.
- No incisions are made on the neck.
- Special endoscopic instruments are inserted through the mouth to access the vocal cords.
- Using a microscope, the problematic tissue is precisely removed.
- The operation is usually short, and patients are often discharged the next day.
Advantages of Microlaryngeal Surgery
- Minimally invasive — no external incisions are required.
- Enables precise work on the vocal cords while preserving surrounding tissues.
- Offers a fast recovery process — most patients return to daily activities within a few days.
- Improves voice quality and can enhance speaking and singing performance.
Postoperative Care After Microlaryngeal Surgery
- Voice rest is recommended for the first week (no speaking or whispering).
- Stay hydrated to keep the throat moist.
- Avoid acidic, spicy, and irritating foods.
- Avoid smoking and alcohol as they delay healing.
- Voice therapy may be recommended as part of rehabilitation if needed.
Although recovery may vary by patient, full voice improvement typically occurs within 4 to 6 weeks.
Conclusion
Microlaryngeal surgery is one of the most effective procedures for supporting speech and professional voice use while preserving vocal health. If you experience persistent discomfort, hoarseness, or vocal fatigue, it is important to consult an ENT specialist for early diagnosis and appropriate treatment options.
Prof. Dr. Elif Aksoy
ENT Specialist – Voice Disorders and Surgery
