Microlaryngeal Surgery
Microlaryngeal surgery is surgery on the vocal folds performed through the mouth, under general anaesthesia, using a microscope and fine instruments or a laser. Its purpose is to remove or correct a problem while preserving the delicate vibrating layer of the vocal fold.
Who it is for
Patients with benign lesions that persist despite therapy, such as polyps and cysts, Reinke's oedema and papilloma; selected cases of nodules, sulcus and scar; and suspicious lesions that need a biopsy.
What happens
Under general anaesthesia, a tube-shaped instrument called a laryngoscope is placed through the mouth to expose the vocal folds. Working through a microscope, the surgeon removes or corrects the lesion with fine instruments or a laser, taking as little tissue as possible. The operation itself is usually short.
Recovery and results
There is no external wound, so visible recovery is quick, but the vocal folds need time. A period of voice rest is usual, followed by voice therapy. The voice often sounds worse before it improves. For discrete benign lesions the outlook is generally good; scar-related problems improve less predictably, and some conditions such as papilloma can recur.
The alternative in the clinic
Some lesions can be treated awake in the clinic instead. We consider that route first where it is appropriate. See Office-Based Procedures.
Medically reviewed by
Associate Professor Necati Enver, MD
Laryngologist · Founder and Director, Istanbul Voice Center · Reviewed September 2026
General information only. It does not replace an individual assessment. Medical disclaimer
Frequently asked questions
Will I have a scar?
No. The surgery is performed through the mouth, with no external incision.
How long is the recovery?
Most patients go home the same day or the next. Voice rest for a period, followed by voice therapy, is usual; the exact plan depends on the procedure.
Are there risks to the teeth or tongue?
The instrument that exposes the larynx rests against the teeth and tongue, so temporary tongue numbness, a sore throat or, rarely, dental injury can occur. We take precautions and discuss them beforehand.
Need a specialist voice or laryngeal evaluation?
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