A Successful Case of Injection Medialization Thyroplasty by Dr. Puneeth P. J.
Voice is one of the most important tools for communication, and any condition affecting the vocal cords can significantly impact a person's quality of life. Recently, a remarkable case at Hubballi highlighted how advanced voice surgery can help restore both speech and swallowing function, allowing patients to regain confidence and return to normal daily activities.
Patient Presentation
A 55-year-old man from Hubballi presented with:
- Severe hoarseness of voice
- Difficulty speaking
- Swallowing difficulties
- Progressive communication challenges
As his condition worsened, even routine conversations became increasingly difficult, significantly affecting his personal and social life.
Detailed Evaluation and Diagnosis
Following a comprehensive ENT and laryngology assessment, the patient was diagnosed with:
Unilateral Vocal Cord Palsy with Multiple Cranial Nerve Involvement
This rare condition affects the movement of one vocal cord, leading to:
- Weak and breathy voice
- Hoarseness
- Difficulty swallowing
- Increased risk of aspiration
Further investigations revealed that the underlying cause was a previous stroke, which had affected multiple cranial nerves responsible for vocal cord movement and swallowing function.
Cases involving multiple cranial nerve dysfunction are uncommon and often require specialized expertise for diagnosis and treatment.
The Treatment: Injection Medialization Thyroplasty
After detailed evaluation, the patient underwent:
Injection Medialization Thyroplasty
This advanced voice restoration procedure helps improve vocal cord closure by repositioning the paralyzed vocal cord, allowing the healthy vocal cord to function more effectively during speech and swallowing.
The procedure was completed successfully in approximately 45 minutes.
Benefits of Injection Medialization Thyroplasty
Improved voice quality
Better vocal clarity
Enhanced communication ability
Improved swallowing function
Reduced risk of aspiration
Faster return to daily activities
Excellent Outcome
Following the procedure, the patient experienced:
✅ Significant improvement in voice quality
✅ Better speech clarity
✅ Improved swallowing ability
✅ Increased confidence in communication
✅ Return to routine daily activities
The successful outcome demonstrates the effectiveness of modern laryngology procedures in managing complex vocal cord disorders.
Why This Case Is Unique
According to Dr. Puneeth P. J., the complexity of this case was increased by the involvement of multiple cranial nerves in addition to vocal cord paralysis.
Through timely diagnosis and advanced intervention, the patient was able to regain essential functions that are often taken for granted—speaking and swallowing.
This case also highlights the growing availability of advanced ENT and voice surgery procedures in Hubballi, making specialized care accessible closer to home.
Protecting Your Voice: Expert Advice
Voice disorders can affect anyone, especially professionals who use their voice extensively, including:
- Teachers
- Public speakers
- Singers
- Trainers
- Call center professionals
To maintain vocal health:
✔ Stay well hydrated
✔ Take regular voice breaks
✔ Avoid excessive shouting
✔ Seek medical attention for persistent hoarseness
✔ Do not ignore swallowing difficulties
Early evaluation can help identify underlying voice disorders before they become severe.
Expert Voice and ENT Care in Hubballi
Voice disorders, vocal cord paralysis, swallowing difficulties, and throat-related conditions require specialized assessment and treatment.
With advanced diagnostic tools and modern voice restoration procedures, patients can achieve significant improvement in both communication and quality of life.
Media Reference
This case was featured in The Hindu:
Click Here
📞 Book Your Consultation
If you are experiencing hoarseness of voice, vocal fatigue, swallowing difficulties, vocal cord paralysis, or other ENT-related concerns, seek expert evaluation early.
Dr. Puneeth P. J.
ENT Specialist & Voice Surgeon, Hubli
📞 Phone: 09036875457 | 08971142454
📍 Location:
Gokul Road, Near Agarwal Medicals,
Shivsheel Multiplex, Opp. New Bus Stand,
Industrial Estate, Hubli, Karnataka – 580030
Restoring Voice. Improving Lives. Delivering Advanced ENT Care.