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Abstract:
Definite diagnostic advantages exist in the use of combined microlaryngoscopy and microstroboscopy in vocal rehbilitation since objective determination of vocal pathology can be made. The phoniatric considerations used in determining the indications for operative investigation are described. Reference is made to specific clinical problems, including the "hormone voice" in the Reinke edema from medications used in therapy and arytenoid dislocations from insufflation anesthesias. The postoperative prognosis after endolaryngeal surgery depends on the effectiveness of the surgical intervetion and the appropriate phoniatric-logopedic care employed. The author suggests that post-operative voice pauses should be minimized and not depend upon complete re-epithelialization of operative sites. Phoniatric and logopedic treatment used is based on considerations for appropriate vocal cord movements. The advantages of endolaryngeal faradization for vocal rehabilitation are discussed. In addition, the theoretical considerations of fitness for work are also discussed.