About Dr Nupur Kapoor Nerurkar

Dr Nupur Kapoor Nerurkar

VOICE SURGEON

- M.B.B.S.; D.O.R.L.; M.S.(ENT)
- Laryngologist & Voice Surgeon, Bombay Hospital
- Former Associate Professor (Sion Hospital)
- President, Association of Phonosurgeons of India (2013-2016)

Meet Dr Nupur

Bombay Hospital
Room 213, 2nd floor, New wing
12, New Marine lines,
Mumbai- 400 020. Maharashtra. India
Tel.: +91 22 22067676 Ext. 777.

Clinic: +91 22 23868344

Dr. Nupur Nerurkar's Blog

Airway Surgery

When a growth is very large and blocking most of the airway, the patient becomes breathless. This is a clip of a patient who had papillomas on the vocal folds caused by the HPV virus. The tumour is debulked using a microdebrider system.

 

RRP Microdebrider Debulking Laser Microflap

 

 

Stenosis of the airway may follow prolonged intubation, trauma or certain disease conditions. This again produces breathlessness and may need endoscopic laser or external surgery with stenting as its management.

Surgery for Subglottic Stenosis

 

 

Surgery for paralysis of the vocal folds

When both the vocal fold are paralysed and stay in the midline (abductor paralysis), the person has no space for breathing and this is an emergency situation. It is important to find out the cause of this paralysis and the patient needs an emergency tracheostomy (opening made in the airway through the neck with the insertion of a tracheostomy tube).If this condition does not spontaneously improve in 6-8 months various surgeries can be performed to create space for breathing. Using the CO2 laser to make an opening in the vocal fold or the arytenoids is a very effective surgery to restore the airway called laser cordectomy or laser arytenoidectomy.

If both the vocal fold are paralysed but lie apart(adductor paralysis), the patient has ample space to breath but no voice. Furthermore, liquids tend to easily slip into the airway on attempted swallowing. This is called aspiration and necessitates a tracheostomy in the patient.

Kashima's Surgery for Bilateral Vocal Fold Paralysis

 

Left kashima cordotomy for bilateral vocal fold paralysis

This is a video of a patient who has undergone a right Kashima cordotomy 1 year back for bilateral vocal fld paralysis. As he still complaints of stridor in sleep ,a left kashima is now being performed. I n this lateralisation procedure the vocal process is seperated from the vocal fold resulting in a triangular airway creation. It is important to seperate upto the thyroid inner perichondrium for completion. Brisk bleeding can be expected at this point so please be ready with your cautery.

 

Laser Arytenoidectomy Surgery For Bilateral Vocal Fold Paralysis

Dr. Nupur Kapoor Nerurkar featured As a Mumbai's Top Doctor in Otorhinolaryngology Specialist

Atlas of Phonomicrosurgery

By Dr Nupur Nerurkar

ISBN 978-93-5270-224-4

Our voice is integral to our personality and serves in a way as our signature.In today's world, communication is playing an even greater role with the variety of professional voice users encompassing actors, disc jockeys, radio jockey's, news commentators besides of course singers...