For anyone, the mere prospect of surgery can be terrifying; from the perspective of the professional vocalist, the added concern over potential injury to the larynx may supersede the expected peri-operative worries regarding, for example, an upcoming knee repair or tonsillectomy. Understanding the larynx and related issues unique to the singer as surgical patient may alleviate these anxieties. Since it is often the choral director who serves as the first-stop in providing assistance and support to singers who are to be surgical patients, it is important to have some basic information at hand to assist those in your ensembles who are facing imminent surgery. Following some background information, general effects of surgery on the larynx will be discussed, as well as considerations related to several specific operations.
The larynx is a cartilaginous housing for muscles, nerves, and a specialized lining allowing for the production of voice. Although we tend to think of it as the “voice box,” a container for our vocal folds, the larynx plays a crucial role in vital bodily functions related to voice, including respiration and swallowing. It acts as a valve to protect the lungs both from aspiration of foreign materials and to help regulate airflow during physical exertion, and can be highly sensitive to changes throughout the body. Consequently, voice can be a reflection of general health.
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