Vocal Cord Fibrosis/ Scarring
Vocal cord fibrosis is the medical terms for scarring of the vocal cord. Vocal cord fibrosis refers to a stiffening or loss of the vibrating tissue of the vocal cord needed for voice production. It has a range of different causes that include infections, paralysis, ageing and prior surgery to the vocal cord. In mild cases, the voice can break and become hoarse after prolonged use. More severe cases can dramatically change the quality of the voice and the ability to be heard in noisy environments.
What treatments are there for vocal cord fibrosis / scarring?
Managing vocal cord fibrosis can be challenging, as surgery may sometimes result in additional scar tissue. Treatment options usually include voice therapy and/or surgical interventions. When surgery is required, the goal is to minimise scarring by injecting anti-scar medications directly into the vocal cord.
I also use medialisation techniques to reposition the vocal cord, optimising the available vibrating tissue to improve voice production. In more severe cases, I use biomaterials like fat and fascia to replace the scar tissue and reconstruct the vibrating layer of the vocal cord, helping to restore better vocal function.
What does surgery involve?
I perform surgery for vocal cord fibrosis at The London Clinic. It’s usually a day-case procedure, meaning you’ll come in and go home on the same day. The surgery is carried out under general anaesthetic, so you’ll be asleep throughout.
Most patients experience minimal discomfort afterwards, which can be managed with simple painkillers. You’ll need to rest your voice for 3–7 days and take a week off work to recover. I’ll typically see you back in the clinic one to two weeks after the procedure to review your progress.
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