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Small tongue plastic surgery
(For the full text, see No.390) Text /Letty

More than 90% of abnormal voice conditions can be improved by fine-tuning or tuning techniques. Having a good voice is not a dream!

The vocal cavity on which speech and singing depend is prone to narrow vocal range, vocal cord fatigue, mucosal edema and inflammation due to congenital soft tissue hypertrophy, narrow space or soft tissue drooping caused by aging. Su Zhiying, former director of the Department of Otolaryngology at Kaohsiung Chang Gung Hospital, said that if there is still no improvement through medication and speech therapy, no matter whether the voice is congenital or acquired, it can be effectively corrected through tailor-made "sound beauty" surgery or acoustic surgery technology.

Generally speaking, the side effects of voice beauty or vocal cord surgery are very small. For surgery, if nursing is proper, the postoperative inflammation ratio is less than 1%, and the speech improvement rate can reach more than 80%. Therefore, if you find that your voice is abnormal, you can consult a professional doctor for treatment.

Common 6 kinds of voice cosmetic surgery

● Sound line beauty expands the range and makes the song rich and loud.

Some famous artists have wonderful voices, but when they reach a certain age, they find that "the voice belongs to Kaka", and the range of voices narrows, and the treble is no longer so easy to soar. Su Zhiying pointed out that this is a phenomenon of vocal cord degeneration, aging and elastic fatigue.

The reasons that affect the singer's career are not only the long cocoon or polyp of vocal cords, but also the obstruction of voice lines. Su Zhiying observed their oropharyngeal cavity, and found that most people have problems of tonsil hypertrophy, hypertrophy of tongue base, drooping soft palate, and some even snore and sleep apnea.

These soft tissues in the oropharyngeal cavity block the sound line, further affecting the singing of the head cavity, and the range is getting narrower and narrower. If you drag the song forcibly, the vocal cords are easily damaged by overwork. Su Zhiying pointed out that these problems can be solved by oropharyngeal cavity enlargement surgery (vocal cosmetic surgery), and the hypertrophy and sagging soft tissue can be moderately reduced, reshaped and lifted. After the operation, the vocal cavity can be effectively developed, the vocal cavity will naturally become rich and loud, and the vocal range will be widened (the high-pitched part can be improved by a whole tone), and the fatigue of vocal cords will be obviously improved.

● Partial tonsillectomy combined with soft palate plasty to restore high pitch.

The operation needs to be completed under local anesthesia and painless for about 50 minutes. First of all, partial tonsillectomy with unipolar or bipolar electrocautery (about 2 ∕ 3) can improve the problem of partial auditory canal obstruction without affecting the immune system, and some of them have small scratches, quick healing, less bleeding and less postoperative pain; Then the suspended soft palate plasty (lifting operation) is carried out, and the relaxed soft palate and the excessively long suspended soft palate (small tongue) are moderately trimmed and lifted, which can effectively expand the space of the upper pharyngeal cavity, allow sound rays to be smoothly introduced into the nasal cavity and the head cavity, and generate enough * * * sounds.

To what extent can you recover after this operation? Su Zhiying said that the voice in the 40 s can't be compared with that in the 20 s, but at least the high-pitched part can be restored to the height of 10 years ago, and it is not easy to get hurt when singing, not to mention pulling the neck to sing high-pitched, which will prolong the singer's singing career.

This operation only needs outpatient service, which takes about 40 ~ 50 minutes. Local anesthesia is painless, and because there is no wound, there won't be too many side effects.

● Radio frequency can reduce tongue root hypertrophy, and the sound line is unobstructed.

In addition to tonsil hypertrophy and soft palate drooping will affect the range, tongue root hypertrophy and retraction will also obviously hinder the sound line. Hypertrophic tongue root can be reduced by radio frequency cold touch gasification. The probe was inserted into the muscle layer of the tongue root through the mouth, and the left, middle and right needles were each 1 needle. The treatment time of each needle was about 50 seconds. The volume of the tongue root will gradually decrease by about 20-30% within one month. After the oropharyngeal cavity space is relatively enlarged, the sound line will be unimpeded, which is very helpful for the expansion of the range.

Low-voice laser surgery is difficult to fully recover.

It is often heard that singers can't sing because of their falling voice. The so-called "voice down" is mainly due to loud roar or long speech, which leads to submucosal bleeding, edema and inflammation of vocal cords. Chronic long-term * * *, polyps and cocoons will grow out slowly. If you smoke, drink or catch a cold again, you may lose your voice completely.

Although voice inversion therapy can remove cocoons or polyps through vocal cord laser surgery, Su Zhiying said that wounds are inevitable when vocal cord mucosa is removed, and scars will be left after healing, and the voice can only be restored to 80-90% at most. Usually stop singing for a week after surgery, not for a month. The better the postoperative maintenance, the better the voice recovery. Therefore, remind people that if they find hoarseness and discomfort, they should seek medical examination quickly and avoid talking loudly or shouting.

● The beauty of girls' male voices resolves embarrassment.

Su Zhiying often treats sweet-looking girls, but her speech is very neutral, even as low as a male voice (female male voice). She is often called "sir" by people she doesn't know on the phone. After a long time, her self-confidence has been damaged, and job hunting and making friends have often been frustrated. She came to see a doctor to make her voice as sweet as an ordinary girl.

In fact, there are many women who have similar troubles. The treatment can be solved by "improved thyroid ring approach" The operation was performed under local anesthesia without pain. Thyroid cartilage and cricoid cartilage are pulled together along the neckline and a transverse incision of about 2.5 cm. Arytenoid cartilage leans backward by lever principle, making vocal cords taut. The principle of vocal cord tightening is like violin strings, and the frequency will be obviously improved.

Clinically, the audio frequency of some girls is as low as 140 Hz, which belongs to the audio frequency range of male voices. After the operation, it can generally be improved to the female audio range of 200 ~ 250 Hz, so that it will not be mistaken for a boy on the phone. The bleeding volume of this operation can be controlled below 2c.c, which takes about 90 minutes. The neck scar will gradually fade and become inconspicuous within half a year after operation.

As for how long it will take to achieve the effect? Su Zhiying said, it's like cutting double eyelid surgery. It takes a month for the wound to swell before you can see the effect gradually. Therefore, within one month after operation, the voice will be high, flat and tight. Although the vocal cords do not move during the operation, they will still be affected and swollen. After vocal cord swelling, with the gradual recovery of time and wound, the voice frequency will enter a stable period in about 3 months to half a year, and the voice will become as soft as normal women.

Low vocal cord atrophy, hoarseness, surgery improved by 80%.

Congenital and acquired vocal cord atrophy (groove) can cause vocal cord dysfunction, make your voice hoarse and make you feel weak. The improvement of this situation is mainly corrected by the transfer of muscle band in the middle position. The operation was performed by cutting the thyroid cartilage in the middle position. After the neck band muscle is free, it moves to the medial space of thyroid cartilage, and then the cartilage is reset and sutured, so that the atrophied vocal cords push inward and the glottis are completely closed. The operation was completed in about 90 minutes, and the voice improved by about 80% after 3 months.

Hyaluronic acid, autologous fat, can also be slightly tuned.

Not only medical beauty can be fine-tuned, but also sound can be fine-tuned. The vocal cords are paralyzed and unable to vibrate. Some are caused by tumor compression and heart surgery, and some are caused by unknown reasons, especially unilateral vocal cord paralysis. Li Bohong, director of the Department of Otolaryngology, Zhenxing Hospital, suggested that hyaluronic acid can be applied to the vocal cords to thicken them, and autologous fat can also be used to improve the problem of vocal cord paralysis.

If the vocal cords are atrophied, degenerated or slightly depressed, resulting in abnormal voice, hyaluronic acid or autologous fat can also be used to solve it. In addition, some people have hoarse voices, and malignant tumors or other diseases are not excluded. If they only have small cocoons or polyps, they don't need a knife, but they can be reduced and improved by steroids.

Eat less spicy food, drink more water and keep your voice.

To maintain a beautiful voice, the diet should be light at ordinary times, especially after the operation, we should avoid spicy, * * *, spicy pot and other foods that are too hot or too cold, while restaurants and other foods usually have a heavy taste. Adding Chili peppers will cause vocal cord vasodilation and inflammatory reaction, and eating too much will easily affect voice recovery. Therefore, it is suggested that if you want to eat out, you should choose your food carefully and eat more fruits, vegetables and fresh fish.

Postoperative rehabilitation is very important. One week after operation, you must cooperate with vocal training, push out the voice with Dantian, relax your throat as much as possible when you speak, and learn to relax your tongue and soft jaw, so that your voice will gradually become louder and hoarse. Pronunciation habits can also be improved through practice, with relaxed abdominal breathing, exercise the muscle strength of diaphragm and pronounce Dantian sound. Also, you should get rid of the habit of speaking fast, because when you are in a hurry, your throat will tighten, and the more you speak, the harder it will be. Try to learn to speak slowly and practice speaking clearly word by word.

There are mucous membranes on the vocal cords, which need to be moistened when vibrating. Therefore, drinking plenty of water is helpful for vocal cord lubrication, especially warm water. The average person drinks about 2000c.c every day. However, if you know that you have to talk and sing for a long time, you should drink more water to increase the moisture of the vocal cords and avoid the vocal cords being stuck by secretions. At this time, the simple method is to observe whether the urine is transparent and not yellow, indicating that the water is sufficient.

In addition, a "beauty sleep" can not only help brighten the skin, but also keep the vocal cords moist, even if they are about to grow cocoons, they can be repaired through adequate sleep.

Tips for protecting sound

1. Drink plenty of water to moisten vocal cords.

2. Don't eat spicy food.

3. Don't smoke and drink