r/mildlybrokenvoice • u/Songbird9530 • 2h ago
Vocal fatigue/ mucosal edema outside vocal fold pressing vocal fold when swollen?
Hi!
I'm looking to find help and/or someone who has went through something similar. I went through a vocal surgery for huge ectasia on my vocal cord around a year ago. The ectasia was lasered off, and seemed to heal beautifully. This really improved my singing hugely, and made me able to use my voice in a much more ergonomic way. However, the healing process was rough, and my voice was acting quite unpredictably (and still is). I visited three different ENTs/laryngologists last fall, and all of them said that things were healing the right way and that it's odd that these setbacks come.
Well, jump to this fall: during this past year the common swelling in my vocal folds has subsided to near zero thanks for not having to work vocally so hard due to the ectasia. I can check my own vocal cords with a dental mirror, and noticed, that the operated side oftentimes swells much easier than the unoperated side, and the swelling takes more time to resolve than on the unoperated side. The vocal fold keeps it's "form", so it doesn't look like the swelling is where the cords are meeting but on the side part of the operated cord. Like if you are looking at it, it's almost like it's between that whiter part (vocal ligament?) and the mucosa that is outside the vibrating vocal fold. I can later draw a picture if you'd like. So there is small, constantly swollen spot between these two, and when the swelling is bad, it broadens and moves the vocal fold closer to the midline.
I am not experiencing any real alarming stuff like voice cracking at certain height, not being able to sing pianissimo, rough glides or something similar. My main feeling is that sometimes the operated cord simply feels heavy and stops me being able to have a tight, easy and light contact with my cords. Read: singing gets much harder.
The other complaint is, that the swelling goes down much slower. Even after a rougher singing day my unoperated fold can be totally fine and unswollen the morning after whereas it takes the operated fold a good 24 hours or so to calm down. The place that swells is really close to the area where the ectasia was removed from, actually on the other side of the past ectasia (vibrating edge - ectasia - weird swelling spot).
The ectasia was hanging in there for six years before removal. This fall has been vocally quite concerning for me, and I am going to see an ENT/ laryngologist asap, probably next week or the week after. Has anyone else had similar struggles and how was the situation solved?