Paralysis of vocal cord muscles occurs when the nerve impulses in the larynx (voice box) are disturbed. Vocal cord paralysis affects one’s ability of speaking and even breathing. Besides making the sound, the vocal cord does many functions. They also shield airway by deterring passage of food, drink, and saliva to trachea that causes to choke.
The causes of vocal cord paralysis are viral infections, nerve damage during surgery and a certain type of cancers. Mostly “Surgery” is being the first choice of vocal cord paralysis treatment. Voice therapy is opted sometimes to treat the condition.
A Tracheotomy is performed to remove and clean the airway secretions / bypass a blocked airway/ to safely deliver oxygen to the lungs/neck and head injuries that affect the breathing.
Symptoms of vocal cord paralysis
- Unable to speak loudly
- Frequent throat clearing
- Choking while eating, drinking
- Noisy breathing
Tracheotomy is performed in an operating room under General anesthesia. Depends on the patient’s condition, the doctor may use a local anesthesia to numb the throat and neck areas. Based on the hole types, time availability, tracheotomy can be done in two ways.
This procedure is performed in an operating room. The surgeon makes an incision horizontally through the skin at the base of the neck. Flapping the surrounding muscle, he cut a small portion of the thyroid gland to expose trachea. At a particular spot on the trachea, a hole is created, the tube is inserted. Then, the tube is attached with a strap to uphold it in the place and the incisions are sutured.
Minimally Invasive tracheotomy:
It is performed in a hospital room. The surgeon makes a small incision at the base area of the front neck. A special lens is fed through the mouth and the surgeon views the inner side of the throat. Then, a needle is introduced into the windpipe for creating a tracheostomy hole. The hole is widened to place the tracheostomy tube. Using a strap the tube is held in the place. Several days of hospital stay is required in the minimally invasive tracheostomy procedure and speech will improve day-by-day. The patient is fed with a tube and it will be regularly cleaned to avoid infections.
AUM ENT Clinic is a well-known ENT hospital in Mumbai who offers various treatments for Ear, Nose and throat problems. Dr. Shailesh Pandey is a young ENT specialist and Surgeon in India who has performed thousands of ENT surgeries successfully and he offers vocal cord paralysis treatment in Mumbai.