ENT Nuffield Medical

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Hotline: +65 6950 2869

Professional Singers

1.What is the condition about?

Professional Singers rely on their voices as their primary instrument, making vocal health paramount to their careers. This group faces unique challenges related to vocal strain, overuse, and performance demands. Understanding and managing these vocal health aspects is essential for singers to maintain their voices and sustain their careers.


2.What Are the Causes?

Several factors contribute to the vocal health challenges faced by professional singers:

  1. Vocal Overuse: The extensive use of the vocal cords during rehearsals, performances, and recording sessions can lead to vocal fatigue and strain.
  2. Improper Technique: Singing with improper vocal technique, such as pushing the voice too hard, can contribute to vocal problems.
  3. Environmental Factors: Exposure to allergens, irritants, or dry air in performance venues can affect vocal cord function.
  4. Stress and Anxiety: The pressures and anxieties associated with live performances and high-stakes auditions can impact vocal performance.
  5. Inadequate Vocal Care: Not following proper vocal hygiene, including hydration and warm-up routines, can lead to vocal issues.

3.How Common is the Condition?​

Vocal health concerns are prevalent among professional singers due to the unique demands of their profession. While not all singers experience vocal problems, many encounter challenges related to vocal strain and fatigue during their careers.


4.What Can an ENT Specialist Do for You?

Consulting with an Ear, Nose, and Throat (ENT) specialist can provide professional singers with valuable support:

  1. Vocal Evaluation: ENT specialists can conduct a comprehensive evaluation of the singer’s vocal cords and overall vocal health, identifying any issues or areas for improvement.
  2. Voice Therapy: Specialized voice therapy can help singers develop proper vocal technique, reduce strain, and enhance vocal performance.
  3. Treatment of Vocal Conditions: ENT specialists can diagnose and treat vocal cord conditions, such as nodules, polyps, or cysts, that may affect singing.
  4. Recommendations for Vocal Care: ENT specialists offer guidance on vocal hygiene, hydration, and techniques to minimize vocal strain.

5.How Can the Condition Be Treated?

Professional singers can take proactive steps to maintain vocal health:

Voice Therapy

Engaging in voice therapy to learn proper vocal technique, breath control, and vocal exercises can improve vocal performance and reduce strain.

Rest and Vocal Care

Allowing the vocal cords to rest and recover, staying hydrated, and avoiding irritants can aid in vocal health.

Medical Management

Addressing underlying conditions such as acid reflux or allergies through medication and lifestyle modifications.

Stress Management

Employing stress-reduction techniques, such as meditation or counseling, to manage performance anxiety.

6.Types of Vocal Surgery Interventions

For professional singers facing persistent vocal issues, various surgical interventions are available, including:

  1. Microlaryngoscopy: This minimally invasive procedure involves using a laryngoscope to examine and treat vocal cord problems. It allows for the removal of nodules, polyps, or cysts.
  2. Laser Surgery: Laser technology can be used to precisely remove or vaporize vocal cord lesions, providing quicker recovery times and reduced scarring.
  3. Injectables: Singers may opt for injectable treatments like vocal fold augmentation, dermal fillers, or Botox. These procedures use substances like collagen, hyaluronic acid, or Botox to improve vocal cord closure and function.
  4. Phonomicrosurgery: Phonomicrosurgery involves using microsurgical instruments to precisely remove or repair vocal cord lesions. It’s a common choice for professional singers who require meticulous care to preserve their vocal quality.
  5. Reconstructive Surgery: In cases of severe vocal cord damage or scarring, reconstructive surgery may be necessary. This procedure aims to restore vocal cord function and quality.

7.Guidelines for Surgery

Surgery is typically considered after non-surgical interventions have been exhausted. Guidelines for vocal surgery include:

  1. Thorough Evaluation: A comprehensive evaluation by an ENT specialist to assess the necessity of surgery.
  2. Informed Decision: Discussing the risks, benefits, and potential impact on vocal quality with the surgeon.
  3. Post-operative Care: Complying with post-operative care recommendations, including voice rest and rehabilitation.
Guidelines for Surgery​

8.Evaluation & Follow Up for Treatment

Regular evaluations and follow-up appointments with an ENT specialist are essential after vocal surgery. These appointments help monitor vocal health, track progress, and make any necessary adjustments to the treatment plan.

Risks of Surgery

Surgery for vocal conditions carries inherent risks, such as changes in vocal quality, bleeding, or infection. Singers should carefully consider these risks and weigh them against potential benefits when contemplating surgery.

Alternatives to Surgery

Alternatives to surgery for professional singers include:

  1. Voice Therapy: Continued voice therapy and training to improve vocal technique and reduce strain.
  2. Medical Management: Medications and lifestyle modifications to address underlying causes of vocal issues, such as acid reflux or allergies.
  3. Vocal Rest and Care: Practicing good vocal hygiene, staying hydrated, and allowing the vocal cords to rest between performances.