Surgery for Voice restoration

Phonosurgery is a surgical procedure that maintains, restores, and improves the voice.


Phonomicrosurgery is a specialized form of phono surgery in which ent specialists use microsurgical techniques and instruments to treat abnormalities on the vibratory edge of the vocal fold, thus helping a patient regain or improve voice function. Phonomicrosurgery can also be used 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 anaesthesia which involves the placement of a metal tube through the mouth to push the tongue out of the way. The surgeon examines the vocal cords under high magnification using a microscope to determine the type of lesion present.

Why is voice restoration surgery required?

Your ENT surgeon will suggest phonomicrosurgery to patients with voice problems that are caused by:

  • Vocal cord abnormalities that will respond to voice treatment or medical treatment
  • Vocal fold abnormalities that appear like cancer

Specific Indications

Along with medical and voice treatments and with lifestyle changes when required, phonomicrosurgery can be very effective in treating and enhancing the voice of patients with the following voice problems:

  • Vocal fold nodules
  • Vocal fold polyps
  • Vocal fold cysts
  • Vocal fold pseudocysts
  • Vocal overlap granulomas
  • Vocal fold blood vessel problems
  • Vocal fold papillomatosis
  • Vocal fold atypia or leukoplakia
  • Laryngeal early cancers
  • Vocal fold scarring