In case of shortness of voice lasting more than one or two weeks, or if there is no specific cause, there should be pain, blood coughing, difficulty swallowing, and neck swelling.
CAUSES OF HOARSENESS
- Laryngitis (inflammation of the larynx)
- Benign masses such as nodules, cysts or polyps in vocal cords
- Lung diseases
- Paralysis of nerves that provide vocal cord movement
- Nasal discharge due to allergies or inflammations
- Reflux and severe vomiting
- Impacts around vocal cords
- Psychological reasons
- Nervous system diseases
- Exposure to smoke and chemicals
- Incorrect use of sound (screaming, speaking too loudly)
- Surgical traumas due to intubation tube placement
DIAGNOSIS OF HOARSENESS
Since hoarseness may occur for many different reasons, some tests may be necessary. These include x-rays, allergy tests, laryngoscopy, CT (computed tomography), MR (magnetic resonance), endoscopy and biopsy.
TREATMENT OF HOARSENESS
The method of treatment varies depending on the cause of hoarseness. If hoarseness is due to a viral or bacterial infection, the underlying disease is treated, such as medication therapy, vocal therapy in vocal cord nodules, surgery in cases where the nodule cannot be treated, and reducing gastric acid if hoarseness is caused by reflux.
However, there are partners in all voice treatments. These; reduction of the use of sound (or full sound rest for a while), the use of professional sound (such as teachers, singers, call center staff) to perform voice warmer and cooler exercises, the use of diaphragm while talking, avoiding throat cleaning, taking plenty of fluids, tea and tea. No alcohol is used, keeping the ambient temperature and humidity appropriate, keeping the ambient air clean and dust-free, avoiding spicy, spicy, sour and acidic food drinks, not speaking whispering, and not using menthol throat lozenges.
ENDOLARYNGEAL MICROSURGERY (MLS)
Endolaryngeal microsurgery or microlaryngosurgery (MLS) surgery, or the so-called microscopic vocal cord surgery; Microscope is used to remove structures such as vocal cord nodules, polyps and cysts.
HOW IS ENDOLARYNGEAL MICROSURGERY (MLS) PERFORMED?
Endolaringeal microsurgery (MLS) is performed under general anesthesia and lasts approximately 1 hour.
A long metal tube is inserted through the mouth to visualize the vocal cords, the metal instrument is fixed and the mass is cleaned with a surgical microscope. Sometimes it may be necessary to combine several techniques.
AFTER ENDOLARYNGEAL MICROSURGERY (MLS)
After endolaryngeal microsurgery (MLS), the patient is discharged after being kept under observation for approximately 4 hours. Rarely, you may need to stay in the hospital for a day. The sound is rested for one week after the operation. There are some points that the patient should pay attention to for the recovery and prevention of recurrence. These may be listed as follows;
- No smoking.
- Dirty, dusty, dry air environments should be avoided.
- If reflux is present, treatment should be provided.
- Throat-forceful movements should not be performed.
- Speech therapy should be taken if necessary.
DOES THE DISEASE RELAPSE AFTER ENDOLARYNGEAL MICROSURGERY (MLS)?
Endolaryngeal microsurgery (MLS) is the possibility of recurrence if the points causing the formation of the lesion are not removed (such as the misuse of sound). Since the vocal cavity and vocal cord scar are resistant to treatment, the application should be repeated.