voice change

Important Triangles in Thyroid Surgery

Thyroidectomy is a surgical procedure involving removal of the thyroid glands. The procedure can be a hemi-thyroidectomy (partial removal) or can be a total thyroidectomy. The most important thing about thyroidectomy is the meticulous dissection needed for preserving the two nerves and bilateral parathyroid glands. These two nerves are the Recurrent laryngeal nerve (RLN) and

Indications and Contraindications for total laryngectomy

Total laryngectomy is a surgical procedure mostly done for malignancies involving the larynx. In this surgery, the entire larynx (voice box) is removed by resecting the trachea and bringing out the lower stump as a respiratory opening in the anterior part of the neck (permanent tracheostomy) and thereby closing off the air passages to the

Progressive loss of voice in a 2 year old female child

A 2-year-old female child presented with complaints of progressive loss of voice for the past 6 months. She had no history to suggestive voice abuse, foreign body inhalation, cough or catarrh. She had worsening difficulty in breathing with fast breathing, but no cyanosis, orthopnea or leg swelling. There were no complaints of feeding difficulty, fever

Total Laryngectomy – Evolution, Workup, Surgical steps and Complications

Total laryngectomy is a surgical procedure in which the entire larynx is removed by resecting the trachea and bringing out the lower stump as a respiratory opening in the anterior part of the neck (permanent tracheostomy) and thereby closing off the air passages to the mouth and nose. The patient permanently loses his/her natural voice

Clinical Practice Guidelines for management of Dysphonia

Dysphonia or impaired voice production is a clinical condition characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. This is a very common complaint affecting nearly one-third of the population at some point in its life. It can affect patients of all ages and sex but most