Postoperative adhesions to the vocal folds should be treated with a second surgery as soon as possible, usually within 1 month of surgery.
Postoperative vocal fold adhesions often occur when both vocal folds are operated on at the same time. When there are traumas at the edges of both vocal folds, vocal fold adhesions may occur due to adhesive traction during the tissue healing process, persistent poor vocalization that leads to buttressing of the bilateral vocal fold traumas for healing, and inflammatory edema of the vocal folds that leads to growth of the healing edges of the traumas.
The normal tissue trauma repair process undergoes initial wound healing, competitive growth of granulation tissue, and reconstruction of tissue structure and function, which lasts up to 1 month, and then enters a state of mechanization and scar formation. During this period, secondary surgery is optimal to release postoperative adhesions, remove the trabecular pseudomembrane, and loosen the binding structures.
When postoperative adhesions of the vocal folds occur, the patient can actively consult a doctor for a systematic examination, make a clear diagnosis, and then follow the doctor’s instructions to standardize the treatment.