Voice Surgery Videos


Philadelphia Voice Center
Professional Voice Care, Otolaryngology-Head and Neck Surgery

Surgery:  Type I Thyroplasty using Gore-Tex Implant

Voice and vocal folds prior to thyroplasty

Voice result following thyroplasty
Type I Thyroplasty:  Gore-Tex Implant
Surgery for Vocal Fold Paresis and/or Paralysis
Thyroplasty is a surgery performed to help the vocal folds close completely during talking and singing.  It is ususally performed with one or both vocal folds is weak from a nerve injury or incompletely functioning laryngeal nerve.

The  videos show a patients vocal folds before surgery, the surgical procedure, and the vocal folds after surgery.
Microscopic Direct Laryngoscopy with
Microflap Excision of Bilateral Vocal Fold Polyps

Vocal folds and voice with polyps before surgery

Surgery:  Microscopic Direct Laryngoscopy with Microflap Excision of Bilateral Vocal Fold Polyps

Vocal folds and voice after surgery to remove polyps
Microscopic Direct Laryngoscopy with
Microflap Excision of Subepithelial Cyst

Right vocal fold cyst and voice before surgery

Surgery:  Microscopic Direct Laryngoscopy with Microflap Excision of Subepithelial Cyst

Vocal folds and voice after microflap excision of right vocal fold cyst
Vocal fold polyps and cysts form as a result of phonotrauma, which is excessive force of vocal fold vibration, usually caused by hyperfunctional vocal behaviors. 

They do not typically resolve with voice therapy alone, and usually require surgical excision. 

Voice therapy is helpful before and after surgery to eliminate the vocal behaviors that caused the original formation of the polyps and cysts.
Subepithelial cysts typically form from obstruction of a gland within the vocal fold. 

Unlike polyps, nodules, and cysts on the vibratory margin, they lie underneath the mucosal cover of the vocal fold, instead of involving it directly. 

Surgical excision involves removing the cyst from within the substance of the vocal fold without causing trauma to the lining tissue or underlying vocal ligament. 

Post-operative voice therapy aids the healing process.
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