Laryngeal Surgery

Vocal Cord Surgery for Voice and Swallowing Disorders


Laryngeal Surgery

Many don’t know this, but our office for head and neck disorders in Los Angeles can conduct extensive surgery on those who need it. In Los Angeles, many locals work in the entertainment industry, public speaking industry, or in sales, forcing them to use their voice most of the day.

Overuse of the voice box can lead to laryngitis, polyps, nodules, and cysts. Some of these vocal issues can go away with rest and recovery, but in some cases, our ENT specialists will recommend that you get surgery.

Throat surgery is a very invasive and delicate procedure, but our ENT doctors are used to operating within these bounds. In fact, they even offer the intricate surgery of rhinoplasty where the function and appearance are scrutinized.

The use of your throat is essential to your quality of life at any age, and difficulty swallowing or talking can severely impact your social life and professional success. Undergoing throat surgery can be nerve-racking, as a mistake can permanently affect your voice, but know that visiting an ENT doctor in Los Angeles at Westside Head & Neck minimizes any risk.

Our throat specialists can diagnose and treat your vocal disorder over the course of multiple appointments, and they will also schedule follow-up visits to ensure your head and neck surgery was a success.

Diagnosing Your Throat Problems

Westside Head and Neck uses a team-based approach to diagnoses throat problems, and our staff will use their training in otolaryngology, voice and speech therapy, and thyroid disorders to pick a treatment plan that will put your issues to rest.

During your assessment, your medical history will be scrutinized and our doctors will conduct a physical exam to check for any surface-level issues like nerve compression or thyroid gland problems. Our doctors may even need to do a direct laryngoscopy, where a thin, flexible fiberscope is inserted through the nose or mouth and down into the throat.

In some cases, a reflux test, biopsy, X-ray, or additional endoscopic examination may also be necessary.

Depending on your diagnosis, you will be worked into our schedule for laryngeal framework surgery, injections, or vocal cord surgery in Los Angeles.

Types of Surgery

There are multiple treatment options that are dependent on your diagnosis.

Laser surgery of the vocal cord: Microlaryngoscopy uses lasers to treat benign lesions, cancer of the vocal cord, and tumors on the vocal cord. This minimally invasive treatment is conducted in an operating room using general anesthesia and usually lasts 60 to 90 minutes. Because of its non-invasive nature, most patients go home the same day.

Laryngeal framework surgery: Laryngeal framework surgery targets the cartilage where the muscles attach to the vocal cords, and this can help your vocal cords vibrate better to create a clearer voice for speaking and singing. Laryngeal framework surgery restores the shape of the larynx to help those with vocal cord paralysis or laryngeal stenosis. This surgery is also used to treat people who have lost their voice to neck cancer or damage from surgery.

Vocal cord injections: Similar to cosmetic surgery, fillers can be injected into the vocal cords to treat vocal cord paralysis or muscle weakness. Collagen and other kinds of gel fillers can positively impact voice or swallowing function. In some cases, medicine can be injected. Injections will be administered in our Los Angeles ENT office, and our doctors will inject this material directly into the vocal folds through the skin of the neck.

Total laryngectomy: In some cases of throat cancer, your voice box is so overtaken by the malignant cells that it needs to be removed completely. The larynx connects the mouth and lungs, so a laryngectomy requires that it be replaced with a stoma, which is attached through a hole in your neck.

Neck dissection: Removing the lymph nodes in a neck dissection can greatly reduce the chances of neck cancer returning.  

Contacting a Doctor

The board-certified ENT surgeons of Westside Head & Neck are experts in issues affecting the ear, nose, and throat. Through extensive and exhaustive training, our doctors are trained to treat serious conditions such as neck, mouth, and throat cancer.

We accept most PPO insurance plans, Medicare, and select HMO’s. Our two offices are located in Santa Monica and Culver City. To set up an appointment to discuss your ENT issues with any of our physicians at either location, please call (310) 361-5128 or email appointments@westsidehn.com.


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Voice & Swallowing Disorders


Laryngeal SurgeryPhilosophy
At Westside Head and Neck, we will provide you with expert, state-of-the art care for voice, swallowing, and airway disorders. We believe in a multidisciplinary approach involving medical treatment, minimally-invasive surgery when necessary, and voice therapy.

Services
We offer specialized diagnostic tools and therapy for people with voice problems caused by benign growths or lesions (nodules, polyps, cysts, papillomas, granulomas, vascular lesions, scar or sulcus), chronic or acute laryngitis, the aging voice, spasmodic dysphonia, vocal cord paralysis, muscle tension dysphonia, laryngopharyngeal reflux, cancer of the larynx, and neurologic conditions affecting the larynx. We care for professional voice users, including singers, actors, teachers, and attorneys. For patients with breathing or swallowing problems, we provide diagnostic and therapeutic strategies.

Patient Care
Patients receive a comprehensive evaluation of vocal function including analysis of speech and voice quality and videostroboscopic examination of the larynx. Laryngeal Videostroboscopy is a routine, non-painful component of this evaluation and allows the physician to assess the laryngeal anatomy, pliability of the vocal folds, and motion of the vocal cords. This can be done using a rigid or flexible endoscope, and topical anesthetic is routinely used. After the evaluation, a management and treatment plan is developed with the patient. This may include in-office procedures, medication, voice therapy, or surgery.

Common Voice and Larynx Conditions

  • Chronic sore throat
  • Cough
  • Hoarseness
  • Laryngopharyngeal Reflux Disease (LPR) & GERD
  • Laryngitis
  • Reactive vocal cord lesion
  • Spasmodic dysphonia
  • Swallowing disorders
  • Vocal cord cysts/nodules/polyps
  • Vocal cord paralysis

Treatments

  • Voice rest
  • Speech / Voice therapy & practices
  • Reflux medicines & lifestyle modifications
  • Vocal cord nodule, polyp and cysts removal
  • Vocal cord medialization
  • Tracheotomy
  • Voice prosthesis
  • Antibiotics
  • Flexible fiberoptic laryngoscopy
  • Vocal cord injections

I am so grateful that I found Dr. Salvado. I’m a voice over actor who sings at church on the weekends so when my voice started to go on the fritz I was absolutely panicked. Dr. Salvado took one easy look (no tube up the nose and down the throat!! My first time not being scoped for vocal issues!!) and quickly saw what the problem was. Following her plan for rehabilitation for me, my voice is back to fully functioning and even clearer than before I started having issues. I’m so happy I found Dr. Salvado, laryngologists are hard to come by and she’s excellent. I highly recommend her!show lessAnastasia C. · February 4, 2020 via Zocdoc

1301 20th Street Suite 510
Santa Monica, CA 90404



3831 Hughes Avenue Suite 704
Culver City, CA 90232

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