Procedures
From a five-minute clinic exam to day-case surgery — the diagnostic and treatment procedures Mr Karagama offers.
Procedures
How Mr Karagama treats voice and throat conditions
01
Vocal Hygiene
Practical, everyday advice to protect your voice and reduce the risk of vocal cord problems developing.
- Staying well hydrated throughout the day
- Avoiding smoking and excessive alcohol
- Managing reflux where relevant
- Avoiding shouting, screaming or prolonged throat clearing
02
Thyroplasty
A surgical implant procedure to permanently reposition a paralysed vocal cord and restore voice quality.
- Performed under local anaesthetic with sedation, so voice can be checked during surgery
- Approximately two hours in theatre
- Home within twenty-four hours, with around three days of vocal rest afterwards
03
Voice Lifts
A procedure to restore vocal cord bulk and closure, most often used to treat the ageing voice.
- Assessment of vocal cord bowing with video stroboscopy
- Injection augmentation to restore closure
04
Vocal Cord Injections
Injection augmentation to bulk out an underperforming vocal cord and improve voice quality.
- Choice of filler material (hyaluronic acid, collagen, fat, or similar)
- Effects generally lasting six to twelve months
- Can be repeated as the effect wears off
05
Microlaryngoscopy
Day-case surgery under general anaesthetic to closely examine and treat conditions of the vocal cords.
- Magnified examination of the vocal cords under general anaesthetic
- Removal of nodules, polyps, cysts or papillomas
- Biopsy of suspicious tissue
06
Video Stroboscopy
A specialised slow-motion camera examination of the vocal cords, essential for diagnosing subtle voice disorders.
- Slow-motion assessment of vocal cord vibration
- Detects subtle scarring, stiffness or asymmetry
- Results discussed and often shown to the patient immediately
07
Nasal Endoscope
A quick, well-tolerated clinic examination used to assess the throat, voice box and nasal passages.
- Direct visualisation of the vocal cords and throat
- Local anaesthetic spray to numb the nose beforehand
- Results discussed with you straight after the examination
Process
Your Care Journey
From your first call to full recovery — here's what to expect.