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voice."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of voice outcome and mucosal healing; histology review as applicable."}}],"indications":["Symptomatic vocal fold polyp causing hoarseness or voice change","Polyp not resolving with voice therapy or conservative management","Need for histological diagnosis of a laryngeal lesion","Airway or voice-quality impairment from a benign vocal fold lesion"],"main_risks":["Anesthesia-related risks","Transient sore throat, cough or blood-tinged sputum","Persistent or worsened hoarseness","Vocal fold scarring or stiffness","Dental or oral injury from laryngoscope","Bleeding or airway edema (uncommon)"],"pain":"Usually mild: sore throat and discomfort for a few days, managed with simple analgesics.","preparation":["Preoperative laryngoscopy/videostroboscopy","Anesthesia assessment and fasting per anesthesia team","Review of medical history and current medications with the surgeon","Stop smoking and treat reflux where relevant"],"recovery_timeline":[{"phase":"Day 0-7","description":"Absolute or relative voice rest as advised, with mild throat discomfort and hydration.","restrictions":["Avoid shouting, whispering and throat clearing","Avoid smoking"]},{"phase":"Weeks 1-3","description":"Gradual return to normal voice use, with follow-up laryngoscopy; voice therapy may be added.","restrictions":["Avoid heavy straining and prolonged loud voice use"]},{"phase":"Weeks 3-12","description":"Voice quality stabilizes as the mucosa heals.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional voice recovery; voice therapy may extend this."},"result_longevity":"Results are usually long-lasting if the cause is removed, with voice improvement typically stable after healing. Recurrence is possible with continued voice strain, smoking or reflux.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat surgery for recurrence or persistent polyp within about 2 years; higher with ongoing smoking or voice strain."},"scars":"No external scar; endoscopic transoral approach. Minor vocal fold mucosal scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session for uncomplicated unilateral or bilateral polyp removal."},"stages":[{"code":"microlaryngoscopic_excision","label":"Microlaryngoscopic polyp excision","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"One-stage operation."},"success":{"metric":"Subjective voice improvement or resolution of hoarseness","value":85,"unit":"percent of patients","horizon":"3 months after surgery","population":"Adults with benign vocal fold polyps treated with microlaryngoscopic excision","evidence_status":"limited"},"techniques":[{"name":"Cold-instrument microflap excision under suspension microlaryngoscopy","suits_whom":"Typical benign vocal fold polyps, preserving the surrounding mucosa.","recovery":"Voice rest of several days, then gradual return over 1-3 weeks."},{"name":"Laser-assisted microsurgical excision","suits_whom":"Selected polyps where laser precision is preferred.","recovery":"Similar to cold instrument technique."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":1,"unit":"hours","qualifier":"Operative time for endolaryngeal microsurgical polyp removal; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Laryngoscopy or videostroboscopy report","Laryngoscopy video or images of vocal folds","ENT specialist report","Voice recording of sustained vowel","Prior neck or laryngeal imaging (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day surgery; stay about 7-10 days for the post-operative laryngoscopic check, with voice rest first."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the treatment team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you are clear about how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Agree in advance how you will communicate with your clinicians if you do not speak the language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking treatment abroad is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No mention of aftercare is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"If you have any difficulty breathing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe sore throat not relieved by medicine","urgency":"contact_clinic","general":false,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"A severe sore throat that is not relieved by the Extra-Strength Tylenol or other pain medicine prescribed for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Worsening difficulty swallowing","urgency":"contact_clinic","general":false,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"Difficulty swallowing that gets worse instead of better.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Temperature stays above 101 degrees","urgency":"contact_clinic","general":true,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"A temperature that stays over 101 degrees, even though you drink more fluids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms may improve with conservative treatment","name":"Voice therapy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10836248/","host":"pmc.ncbi.nlm.nih.gov","quote":"Conservative treatment includes voice therapy, medication, lifestyle modification and other methods that can alleviate the symptoms and improve voice quality to some extent [ 7 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"cold-instrument-microflap","name":"Cold-instrument microflap excision under suspension microlaryngoscopy","how_it_works":{"text":"A knife, scissors and forceps remove the polyp under a laryngoscope","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10836248/","host":"pmc.ncbi.nlm.nih.gov","quote":"Laryngeal microsurgery is a traditional surgical method that uses a laryngeal knife, scissors and forceps to excise the polyp under a self-retaining laryngoscope [ 9 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":3,"max":7,"unit":"days","label":"3–7 days","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/24071-microlaryngoscopy","host":"my.clevelandclinic.org","quote":"Most people can return to normal activities within a few days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laser-assisted-microsurgical","name":"Laser-assisted microsurgical excision","how_it_works":{"text":"A laser beam vaporises and cuts the polyp under a suspension laryngoscope","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10836248/","host":"pmc.ncbi.nlm.nih.gov","quote":"CO 2 laser resection is a relatively new surgical method that uses a CO 2 laser beam to vaporise and cut the polyp under a suspension laryngoscope [ 10 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":3,"max":7,"unit":"days","label":"3–7 days","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/24071-microlaryngoscopy","host":"my.clevelandclinic.org","quote":"Most people can return to normal activities within a few days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=india/city=gurgaon/procedure=mikrohirurgicheskoe-udalenie-polipov-gortani/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}