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)

Meet Dr Nupur

Bombay Hospital
Room 213,2nd floor,New wing
12,New Marine lines,
Mumbai- 400 020. Maharashtra. India

Microflap Surgery

microflap-surgery

Conventional surgery for removal of polyps and cysts involves holding them and amputating them at there base. This results in the loss of a certain amount of normal tissue. With better understanding of the importance of the layered microstructure of the vocal folds, laryngologists try to preserve as much normal tissue as possible. This is achieved by "Microflap Surgery" in which a microscopic flap is elevated of the first layer and then the lesion is precisely dissected out. The first layer (epithelium) is then draped back in position. This technique can be used for vocal fold polyps, vocal cysts ,early vocal carcinoma or precancerous lesions.

Vocal fold cysts and polyps usually need surgical excision unlike vocal fold nodules which respond very well with voice therapy.

Vocal Fold Sulcus

Sulcus vocalis is an absence of the second layer of the vocal fold called Superficial Lamina Propria. Occasionally the third layer (Vocal ligament) may be absent in places. This leads to the formation of a gutter-like depression which hampers vibration of the vocal folds. Voice therapy may not give adequate benefit and surgery to recreate this layer may be performed. Fat is a common substance used to create an artificial lamina propria, however, surgeries for sulcus do not give a very good vocal outcome and the patient must be forewarned of this.

Vocal Fold Cyst: Video

Vocal Fold Polyp: Video 1

Vocal Fold Polyp: Video 2

microflap-surgery

Mumbai Voice Surgeon

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...

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4th Workshop on Phonosurgery

4th Workshop of Phonesurgery4th Workshop on Phonosurgery held in Mumbai on
August 28 - 29, 2010

Photo Gallery | Past Workshops
  • microflap surgery

    Microflap Surgery

    Conventional surgery for removal of polyps and cysts involves holding them and amputating …

  • Endoscopic Laser Surgery

    Endoscopic Laser Surgery

    The CO2 Laser is commonly used in the larynx. A laser works as a very precise haemostatic …

  • Vocal Fold Paralysis

    Vocal Fold Paralysis

    When both the vocal fold are paralysed and stay in the midline (abductor paralysis), the person …

  • Airway Surgery

    Airway Surgery

    When a growth is very large and blocking most of the airway, the patient becomes …

  • Pitch Change Laryngeal Surgery

    Pitch Change Laryngeal Surgery

    Laryngeal framework surgery can be performed to tighten or loosen the tension …

How we speak?

Two white folds, known as the true vocal folds, are present at the inlet of our breathing pipe. These vocal folds allow us to talk when they come together and vibrate. When they move apart, they form an inverted "V" and allow air to enter the breathing pipe and lungs for us to breathe.

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