- M.B.B.S.; D.O.R.L.; M.S.(ENT)
- Laryngologist & Voice Surgeon, Bombay Hospital
- Former Associate Professor (Sion Hospital)
- President, Association of Phonosurgeons of India (2013-2016)
Bombay Hospital
Room 213, 2nd floor, New wing
12, New Marine lines,
Mumbai- 400 020. Maharashtra. India
Tel.: +91 22 23868344
By Appointment only
Clinic: +91 22 23868344
When a growth is very large and blocking most of the airway, the patient becomes breathless. This is a clip of a patient who had papillomas on the vocal folds caused by the HPV virus. The tumour is debulked using a microdebrider system.
Stenosis of the airway may follow prolonged intubation, trauma or certain disease conditions. This again produces breathlessness and may need endoscopic laser or external surgery with stenting as its management.
When both the vocal fold are paralysed and stay in the midline (abductor paralysis), the person has no space for breathing and this is an emergency situation. It is important to find out the cause of this paralysis and the patient needs an emergency tracheostomy (opening made in the airway through the neck with the insertion of a tracheostomy tube).If this condition does not spontaneously improve in 6-8 months various surgeries can be performed to create space for breathing. Using the CO2 laser to make an opening in the vocal fold or the arytenoids is a very effective surgery to restore the airway called laser cordectomy or laser arytenoidectomy.
If both the vocal fold are paralysed but lie apart(adductor paralysis), the patient has ample space to breath but no voice. Furthermore, liquids tend to easily slip into the airway on attempted swallowing. This is called aspiration and necessitates a tracheostomy in the patient.
This is a video of a patient who has undergone a right Kashima cordotomy 1 year back for bilateral vocal fld paralysis. As he still complaints of stridor in sleep ,a left kashima is now being performed. I n this lateralisation procedure the vocal process is seperated from the vocal fold resulting in a triangular airway creation. It is important to seperate upto the thyroid inner perichondrium for completion. Brisk bleeding can be expected at this point so please be ready with your cautery.
Our voice is integral to our personality and serves in a way as our signature.In today's world, communication is playing an even greater role with the variety of professional voice users encompassing actors, disc jockeys, radio jockey's, news commentators besides of course singers...
Conventional surgery for removal of polyps and cysts involves holding them and amputating …
When both the vocal fold are paralysed and stay in the midline (abductor paralysis), the person …
When a growth is very large and blocking most of the airway, the patient becomes …
Laryngeal framework surgery can be performed to tighten or loosen the tension …