Phonomicrosurgery is a procedure designed to remove lesions such as vocal fold nodules, polyps, or cysts via the mouth to improve the quality of one’s voice. The procedure is performed under general anesthesia in the operating room. It involves the placement of a metal tube through the mouth to push the tongue out of the way. The vocal cords are then examined under high magnification using a microscope to determine the type of lesion present.

An infusion of saline (salt water) may be used to demonstrate areas of scarring and allow for maximal preservation of the gel-like layer (superficial lamina propria) of the vocal fold. Using various small instruments, a small incision is performed on the vocal fold to dissect the area of concern away from the normal underlying vocal fold.

There are no incisions made on the neck. The objective is to maximally preserve all normal areas of the vocal fold to achieve the best vocal outcome. A laser, such as the KTP green light laser, may be used to treat any associated blood vessels or other pathology on the vocal fold at the time of the procedure.

Patients can generally go home the same day of the surgery. The patient is usually kept on strict voice rest (e.g. no speaking, whispering, or other kinds of sound production) following the procedure for a period ranging from one to three weeks depending on the complexity of the procedure performed.

The information contained on this website is intended for educational purposes only and is not intended to diagnose and/or dictate treatment for any disease process. Please consult your physician for management tailored to your specific condition.