Finding Her Voice: An Outpatient Procedure Restored Patsy’s Voice After Vocal Cord Paralysis

Category: Ear, Nose & Throat

Patsy Blackburn regained her voice after a medialization thyroplasty.

Imagine opening your mouth to speak and your voice can’t get louder than a whisper. You can’t talk on the phone. It’s difficult to order food in a restaurant or even carry on a simple conversation. In an emergency, you can’t cry out for help. This is the world Patsy Blackburn lived in for seven years.

After undergoing a left thoracotomy and excision of a small lung cancer in 1999, Patsy had experienced intermittent hoarseness and suffered with the progression of vocal cord weakness. While she was always a quiet, soft-spoken woman by nature, the vocal cord paralysis worsened and continued to affect her ability to speak. To make matters worse, singing in the choir, a part of her life that brought so much joy, was no longer possible.

Her family physician referred Patsy to CornerStone Ear, Nose & Throat. An evaluation by William McClelland, M.D., and Daron Smith, M.D., confirmed left true vocal cord paralysis.

“There are several treatment options available for vocal cord paralysis,” said Dr. Smith. “However, based on Patsy’s history and physical exam, I felt she could benefit most from a left medialization thyroplasty.”

Feeling hopeful that her embarrassing symptoms could finally be alleviated, Patsy agreed to proceed with the treatment recommendation.

Boston Medical Products’ Montgomery® Thyroplasty Implant in position.

Boston Medical Products’ Montgomery® Thyroplasty Implant in position.

Dr. Smith successfully performed a medialization thyroplasty, which restored Patsy’s voice. During the outpatient procedure, a small piece of thyroid cartilage was removed. Dr. Smith then inserted the Montgomery® Thyroplasty Implant to improve vocal cord closure by forcing the vocal fold back to midline. Because the procedure was completed under mild sedation, it was possible for Patsy to communicate during the procedure to determine optimal voice clarity and loudness.

“Although Dr. Smith told me to rest my voice right after surgery,” Patsy explained, “I was so excited to hear my own voice, that I couldn’t help myself!” Her recovery went very well, with only a mild sore throat for a few days following the procedure.

After seven years of only being able to whisper, Patsy Blackburn has her voice back. She is grateful to once again be able to have normal conversations and to talk on the phone – things most people take for granted. “And,” she said, “I’m gradually working toward my goal of singing with my choir again.”

To learn more about vocal cord paralysis and its treatment, call CornerStone Ear, Nose & Throat at 704-752-7575 in Charlotte or 704-289-8220 in Monroe.

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