Tell me, please, about the operation on the votesx connectionkah under the microscope, kotoraya recently took place in DRB.
– A wide range of otolaryngological surgeries are performed at the DRB. One of them is the so-called microlaryngeal operation, which is done using a microscope and a laryngoscope inserted into the pharynx through the oral cavity. The microscope allows you to visualize formations on the vocal cords and remove them with micro-instruments. Such operations are usually performed if the patient has benign formations on the vocal cords, for example, polyps, papillomas, nodules. Often, with this type of technique, a biopsy is taken if there is suspicion of an oncological process.
In this particular patient, a lesion was visible on the left vocal cord, which gradually grew over several months. The patient complained of periodic hoarseness, discomfort in the throat, sensation of a lump. During an outpatient examination, a mass was found on the left vocal cord and a decision was made to operate. Such an operation usually does not last long, and the patient returns home the next day.
Such operations are already carried out in our hospital? How often are they performed?
– Both such operations and biopsies of oncological formations are carried out by the team of ENT specialists at the DRB: Dr. Renata Vixnedoctor Julia Starinska and Dr. R. Ya. Viksne. Such operations are performed several times a month. Thanks to the management of the hospital, the staff of the Operations Unit and the Anesthesia Service, we have the tools, equipment and support to make the surgical work of ENTs possible. We have been performing microlaryngeal surgeries for over a year now.
How do you recommend protecting voice ligaments so as not to ariseAre there problems that can only be solved with surgery?
Number one is no smoking. Smoking creates a pronounced sagging of the vocal cords and can cause both benign and malignant formations. It is necessary to beware of people who work daily in a profession associated with the active use of the voice, for example, singers, teachers, and so on. With prolonged and improper stress on the vocal cords, so-called “singing nodules” may appear on them. It is advisable for such patients to work with an audio-speech therapist in order to learn how to use their voice as correctly and carefully as possible.
Smoking directly leads to the formation of Reinke’s edema (a disease characterized by the formation of polyps, seals, tumors on the mucous membrane of the larynx in the area above the vocal cords), which causes voice changes, and sometimes difficulty breathing. Recently, an operation was performed on a patient with such a problem.
Surgery is not always necessary. In many cases, you can give up unhealthy habits, reduce the load on your voice and be observed by your otolaryngologist. Unfortunately, without changing habits, surgical treatment is often required.
Of course, the period after the operation is also important, because, for example, if the patient continues to smoke, the problem will reappear.
What are the plans of the ENT doctors of the DRB?
– Strive to continue to provide consistent, affordable and quality patient care. To develop the otolaryngology industry in Latgale and raise it to European standards.
Source: GOROD.LV – новости Даугавпилса by gorod.lv.
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