Medication is warranted in laryngitis and laryngopharyngeal reflux.Voice therapy is the first line of management for vocal fold nodules, early polyps, ventricular phonation, bowed vocal fold and vocal fold paralysis.However, if voice therapy fails to improve the voice, Phonosurgery is recommended.

A type 1 thyroplasty surgery medializes the paralyzed vocal fold using Silastic, titanium or Gore-Tex giving excellent postoperative voice.

Microflap endoscopic surgery is performed for excision of polyps, nodules and cysts.

Early laryngeal malignancies can be tackled with CO2 laser endoscopic excision obviating the need for tracheostomy and decreasing morbidity to a large extent.

Gone are the days when a patient had to “just live with problem”. A better understanding of the anatomy of the vocal folds, physiology of phonation and improved instrumentation has resulted in optimizing the treatment of vocal fold disorders.