Phono Surgery


Laryngeal framework surgery for voice disorders is gaining popularity and MAHAVIR ENT  team has well trained surgeons performing the entire range of Thyroplasties . Any deviation from normal voice like puberphonia ,spasmodic speech etc.are carefully analysed at MAHAVIR ENT  institute with videolaryngoscopy,andvideostroboscopy .Thyroplasty surgery is done to increase of decrease the tension of the vocal cord as situation demands though most of the voice disorders are tackled with effective speech therapy . Professional voice users like singers ,teachers ,politicians etc are specifically attended to at our institute.


Suspension microlaryngoscopy is the gold standard treatment for a large number of lesions of the voice box. Polyps, cysts, scar tissue, and sometimes nodules can be resected under high power magnification. Specialized techniques of microflap excision minimize surrounding damage to the vocal cords and allow for excellent healing with return of the normal singing or speaking voice. There are minimal complications and little discomfort from the surgery. Voice rest is typically required for 1 week after surgery. Voice therapy with a specialized speech pathologist is essential both before and after surgery for full recovery with an optimal performing voice.


Depending o n whether its unilateral r bilateral vocal fold paralysis ,phonosurgery is  designed to make the voice and airway better People with one paralyzed vocal cord often have a breathy, weak voice; in addition, they may aspirate – have food or liquid go into the lungs. Vocal Fold medialization surgery can help to close the voice box, provide a stronger, more natural voice, and help prevent aspiration. This can be accomplished by an injection of material into the vocal folds to help push them together. This injection is either performed in the office under topical anesthesia, or in the operating room. Another procedure requires a small incision over the Adam’s apple and the placement of a small implant to push the paralyzed vocal fold toward the midline. Kashimas surgery designed for patients with bilateral vocal cord paralysis to provide an adequate airway and maintain a reasonable voice too is done with minimum post operative stay at the hospital .


Microlaryngoscopy is a procedure that means the vocal folds are looked at in great  detail with magnification. The magnification may be with a microscope, endoscope or by video enlargement. All phonosurgeries inclusive of laser surgeries are performed in the institute utilizing this facility.


Vocal fold injection is used to treat unilateral vocal fold paralysis by injecting material into the paralyzed vocal fold. This pushes the paralyzed fold to the middle so that when the normal fold closes there is no gap. For this procedure the patient is put to sleep with a general anesthetic and a special scope is put into the throat so that the injection can be performed. There are several things that can be used for vocal fold injections, these include patient’s own fat or synthetic materials. Some injections can be performed with local anesthesia.


A surgical technique designed to improve the voice by altering the cartilages of the larynx  (the voice box), which houses the vocal folds (the vocal cords) in order to change the position or length of the vocal folds.


Voice therapy is a behavioural method for changing the manner of voice production. Furthermore, the therapeutic techniques used in voice therapy may enhance wound healing following vocal fold injury. Voice therapy is an effective and appropriate method of therapy either as sole therapy for voice disorders or in conjunction with other treatment modalities e.g., surgery, medications.


The Institute is equipped with a state- of- the- art ATMOS Endo Stroboscope.  It is used to assess vocal cord vibration patterns, mucosal pliability, the underlying layered structure of the vocal folds, and the undersurface of the vocal fold edges.