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Mayanmar woman who lost voice in a surgical complication, ragains speech after surgery

Rohit Shishodia

Doctors at Delhi’s Apollo Hospitals have restored voice of a 50-year-old patient, who lost her voice due to bilateral vocal cord palsy after thyroid surgery, by performing complex surgical procedure.

The patient, Oak Moon, from Myanmar had an artificially inserted tube in her neck called tracheostomy due to which she had discomfort in breathing naturally and was unable to speak, the doctors said.

In Myanmar she was told that because of this surgical complication, she could never regain her speech. Few years later, she came to India for donating her kidney to a relative in need.

At Indraprastha Apollo Hospitals, while she was being prepared for the transplant procedure, the doctors advised her to undergo a simultaneous surgical intervention so that the tube in her neck could be removed.

Dr Sandeep Guleria, Senior Consultant Surgeon in General Surgery, GI Surgery and Transplantation, Indraprastha Apollo Hospitals, New Delhi said, “The patient came to India with the intention of donating her kidney to one of her relatives. Due to the surgical complication in her thyroid surgery in Myanmar, she developed an inability to speak. While preparing her for the transplant, we found that she was having discomfort in breathing due to the tracheostomy tube in her neck.”

“Based upon her condition, we advised her to undergo a laser cordectomy along with the donor nephrectomy (surgery for kidney donation),” he added.

 “Laser cordectomy was planned to remove her tracheostomy tube from her neck (Decannulation) and treat her artificial breathing. For further guidance to the patient and performance of laser cordectomy we roped in Dr Noor Ul Din Malik for his expert advice,” Dr Guleria further said.

Dr Noor Ul Din Malik, Consultant ENT, Head and Neck Robotic Surgery, Indraprastha Apollo Hospitals, New Delhi said, “Ms Oak Moon had come to the department of Renal Transplant Surgery to Dr Sandeep Guleria as a kidney donor for one of her relatives who had to undergo a kidney transplant surgery. An otherwise healthy lady, Oak Moon had undergone a complicated thyroid surgery a few years ago in Myanmar where she was tracheostomised with a tube in her neck.”

 “She was unable to speak and breathe naturally because of the tube. Her breathing was also regulated through an artificial breathing passage,” he added.

“When we examined her we decided that while she undergoes the kidney nephrectomy, we shall also perform a laser cordectomy for the purpose of removing the tube from her neck, as removing the same could get her voice and natural breathing back,” Dr Malik explained.

“As planned, the patient underwent both the procedures together and was decannulated three weeks  after the laser cordectomy,” the doctors said.

“Oak Moon has been doing great since then, having an uneventful recovery she has been able to talk and breathe naturally. We are happy that we could give a patient the reason to smile and fly back to her home without any pain,” they added.

 


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