Laryngology

Voice & Larynx Surgery

A voice that has changed, tires by the afternoon, or has gone altogether is worth having looked at properly rather than waiting for it to settle. Laryngology (care of the voice box and larynx) forms the largest part of Mr Bidaye's practice.

Illustration of the voice box and larynx

Conditions Mr Bidaye treats

Hoarse voice that will not settle

Dysphonia and chronic dysphonia, vocal fold bowing

Vocal cord nodules, cysts and polyps

Benign vocal fold lesions and granuloma

Recurrent respiratory papillomatosis

Recurring papilloma of the vocal folds and airway

Voice problems at work

Occupational dysphonia in singers, teachers, performers and other professional voice users

Laryngeal dystonia and spasmodic dysphonia

Adductor and abductor spasmodic dysphonia

Vocal tremor

A tremor affecting the voice

Laryngitis

Chronic laryngitis and vocal fold inflammation

Voice box cancer

Laryngeal squamous cell carcinoma: glottic, supraglottic and subglottic

Complete loss of voice

Aphonia

Acid reflux in the throat, throat clearing

Symptoms that may be associated with laryngopharyngeal reflux (LPR), assessed alongside other possible causes

Persistent cough

Chronic cough, assessed and managed together with respiratory and gastroenterology colleagues where needed

Vocal cord paralysis

Unilateral or bilateral vocal fold paralysis and paresis

Procedures & techniques

Camera test of the voice box

Flexible nasendoscopy and laryngoscopy, done in clinic

Stroboscopy

Assesses vocal-fold vibration and the mucosal wave in detail; particularly valuable for professional voice users

Awake procedures under local anaesthetic

Office-based laryngology, no general anaesthetic and no hospital stay

Vocal fold injections

Fillers, steroids and botulinum toxin (Botox), including for adductor spasmodic dysphonia

TruBlue 445 nm laser

Photoangiolytic laser for vascular lesions and papilloma; availability varies by hospital

Vocal cord microsurgery

Microlaryngoscopy and phonomicrosurgery for benign vocal fold lesions

Assessment for suspected laryngeal cancer

Biopsy and definitive surgery are provided privately, with a head and neck multidisciplinary team (MDT) involved for complex cases

Laser throat surgery (planned)

CO₂ transoral laser microsurgery and laser cordectomy, awaiting private hospital approval, not currently available to book

Surgery for vocal cord paralysis

Medialisation thyroplasty, to restore vocal fold closure

Vocal fold implant / VOIS (planned)

May improve vocal-fold closure and voice in selected patients once available, awaiting private hospital approval, not currently available to book

Speech and language therapy

Private SLT support for voice therapy, swallow assessment and therapy, chronic-cough therapy, and therapy for inducible laryngeal obstruction (ILO), arranged by referral

Additional investigations

pH monitoring, oesophageal manometry, barium swallow and videofluoroscopy, arranged where clinically appropriate

Airway and sleep assessment

Spirometry for airway assessment; sleep studies for suspected obstructive sleep apnoea

Mr Bidaye's approach

Mr Bidaye trained in laryngology and airway surgery at Charing Cross Hospital, London and Deenanath Mangeshkar Hospital, Pune.

He also has further specialist experience at Massachusetts Eye and Ear (a Harvard Medical School teaching hospital) and Hahnemann University Hospital in the United States.

He favours the least invasive option that will do the job, and says so when surgery is not the answer.

If you sing, teach, present or sell for a living, a change in your voice is a change in your work.

Mr Bidaye plans each step to disturb as little healthy tissue as possible, and will tell you honestly what a procedure can and cannot be expected to do.

Where it is suitable, Mr Bidaye treats the vocal cords under local anaesthetic while you are awake, in clinic. That avoids the risks of a general anaesthetic and you go home the same day.

A fine camera passed through the nose shows the vocal cords moving in real time.

For many people that means leaving the first appointment knowing what the problem is, rather than waiting on a second visit.

Where a case needs more than one specialty, Mr Bidaye works alongside speech and language therapists and, for cancer, a head and neck multidisciplinary team.

Hoarseness that carries on for more than a few weeks is worth having assessed. Most causes are straightforward, but it is best to have it looked at properly rather than wait it out, especially alongside:

  • Swallowing difficulty
  • Breathlessness

Book a consultation

Appointments are with Mr Bidaye himself and run a full half hour, so there is time to examine, explain, and answer what brought you in. Private appointments can be booked online; our secretary can also advise on insurance and fees.

Book a consultationSpeak to our secretary