PhonosurgeryPhonosurgery (laryngoplasty or vocal cord medialization) is an outpatient procedure done under local anesthesia with intravenous sedation. The reasons you should be considering these procedures will be discussed with Dr. Speyer prior to scheduling. The indications are too many to list here and should be reviewed with Dr. Speyer with regards to your specific needs. The most common reason to undergo phonosurgery is due to a paralyzed or immobile vocal cord. The indications for the surgery include but are not limited to dysphonia or difficulty producing a normal voice because of vocal cord mobility problems. Dr. Speyer will discuss the risks, benefits, and alternatives to this procedure with you in detail. Listed below are some of the disclosed risks of undergoing phonosurgery. By reading and signing below, you are stating that you indeed understand the nature of the procedure, the risks as listed, and alternatives to undergoing the procedure. Risks of phonosurgery include, but are not limited to, bleeding, infection, scarring, implant mobilization or extrusion, the need to remove the implant or revise the position of the implant, failure to improve the voice, airway edema or obstruction requiring urgent intervention not excluding a tracheotomy, among others. Lastly, since you are undergoing intravenous sedation, this alone carries its own risks regardless of the surgery considered. The risks of intravenous sedation include, but are not limited to, the risk of heart attack, stroke, drug reactions, and even death. You should discuss your specific risks assessment with the anesthesiologist during your preoperative anesthetic appointment.
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