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Complications of vocal cord surgery - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
Doctor :   Hi
User :   hi doctor h r u?
Doctor :   How can I help you?
Doctor :   Im fine thanks
Doctor :   h r u?
User :   yes dr. I have my throat infection after my tonsil operation still i am having irration in my throat
User :   i am fine dr
Doctor :   To get a better picture I need this information--
Age: ; Occupation: ; Location:
User :   my age is 30 in call centre & my location is in bangalore
Doctor :   when did you have the tonsil operation?
User :   i have taken enough medication but no effect
User :   it was in year feb 29 2003
Doctor :   ok..
Doctor :   How long have you had your present throat infection problem?
User :   almost from childhood with my tonsils
User :like i always have a soar & irratiable throat. sometimes difficult for me to speak on phone
Doctor :   after the tonsillectomy- did you have any relief- even if it was temporary?
User :   yes for 8months it was okay then it was the same
Doctor :   ok
Doctor :   Do you smoke?
User :   no
Doctor :   do you drink alcohol/ any other habits?
User :   i dont smoke drink very rarely cold items very rare
User :   no other habit
Doctor :   do you have any other health problems? asthma- any allergies etc?
User :   no as of nothing but i get skin allergies from some soaps if i use them like the ones like neem
Doctor :   ok
Doctor :   how often do you get this throat problem?
Doctor :   is it continuous or comes and goes?
User :   it is a cont problem.
Doctor :   do you sneezing/ cough?
User :   yes some times dry cough very rare sneeze
Doctor :   is it
throat pain/ itching?
User :   its pain with soar throat like a itching sensation like i have to clear my throat each time
User :   if i dont then i cant speak
Doctor :   is your problem more of a voice related - requiring you to clear your throat
User :   yes
Doctor :   ok
Doctor :   Has your vocal cords been examined?
User :   also doctor i have other vocal related problem
User :   my voice is more like a famine
Doctor :   ok..
User :   when i was getting operated i was operated for tounge tie & tonsils
User :   doctor told me if i get operated for tonsils my voice will improve
User :   however there was no effect. but when i have a serious cold my voice changes
Doctor :   ok
User :   & doctor also said there is some voice threaphy or operation which will cost me a lot of money
User :   & also warned me not to take it as it might result in a -ve problem
Doctor :   as you do work in a call center- how long have you been doing this job- and how many hours do you speak continuously
User :   form past 4years now
User :   depends on call flow like 7hours
Doctor :   ok
User :   may be with few gaps
Doctor :   See- your problem is more voice related- it is more likely to be related to your job- and not an infection
User :   ok
Doctor :   and is most probably due to vocal cord strain
User :   what do you suggest doctor?
User :   i have also shown to an ent specialist
Doctor :   speech therapy can help you
User :   but each time i go he just says no problem & says do some gargil & stop eating cold thingss
Doctor :   by teaching you current speech techniques - to reduce the strain on your vocal cords
User :   ok
User :   ok
User :   is there any institute or medical centre who do give this?
Doctor :   Vocal cord strain is a common problem for call center executives- singers etc
Doctor :   yes
User :   ok
User :   can you plz suggest me the name of the centres
Doctor :   Doesn't your company have a visiting speech therapist -for its employees - or any such facility?
User :   no sir we dont have except a general phy at nyt
Doctor :   Do salt water gargling and steam inhalation once a week or so- when you feel excessively strained- it will give relief
Doctor :   I don't remember all the details of the speech therapy centers right now
User :   i do that but its only a temp relief
User :   ok
Doctor :   one of our docotrs will give you a call by Saturday with those details
User :   ok sir
Doctor :   ok- we will call you with the details
Doctor :   Is there anything else I can help you with?
User :   and doctor will it also make any diff for my voice related issue
User :   b'coz thats my main concern
Doctor :   for the quality of your voice- speech therapy alone will not make much of a difference- but it can be a great help for your vocal cord strain
User :   ok, but what do u suggest. shall i go for an operation or not
Doctor :   Have you had a vocal cord examination done?
User :   like from an ENT SPE?
Doctor :   yes
Doctor :   they do a scopy to see your vocal cords
User :   only he chk & said my vocal cord can be corrected he took some tool & exmained long time back
Doctor :   ok
User :   he did try to chk up but i cld not bear the pain so he stooped it
Doctor :   ok..
Doctor :   there are two things you need to remember- vocal cord surgery is complicated surgery and requires great expertise
User :   ok
Doctor :   and you will need to discuss all possibilities- complications etc with your ENT surgeon thoroughly before you decide on surgery
User :   i did & we were ready for all but my family mem were not happy. As the dr said he can not gurante if the voice return if so can not say it may change
Doctor :   ok
User :   so nvr tht to go after that
Doctor :   did he tell you what he problem with your vocal cord was?
User :   yes
User :   he told me mu vocal chord is too narrow & that is the reason my voice comes out shrill
Doctor :   ok
Doctor :   did he tell what surgery was planned?
User :   yes he told me some gelatin will be inserted between the vocal cord
User :   that will help to improve the voice
User :   again he warned me
Doctor :   ok
Doctor :   See- any surgery has a risk
User :   told me will cost me anywhere between 50 to 70k
User :   ok
Doctor :   And you have to weigh that risk and make your decision
Doctor :   ok
User :   yes sir i understand so only i nvr went ahead
Doctor :   ok
Doctor :   Is there anything else I can help you with?
User :   no sir thats all
User :   thank you so much
Doctor :   Thanks for consulting Health care magic. Bye for now.
User :   regards
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