Voice surgery

If conservative treatment does not help restore the voice, the only way to do this is surgical correction. Surgeons at the K+31 clinic are fluent in various methods of voice restoration for pathologies of the vocal folds.

Voice surgery

About the service

The voice changes due to various pathological conditions that can be corrected with microsurgery. Without correction, these changes become more complicated and cause hoarseness or complete loss of voice.

When conservative treatment fails, vocal cord surgery becomes the only option to restore function.

Surgeons at the multidisciplinary clinic “K+31” have been performing operations to change voices for more than 10 years. Doctors are constantly trained, so they are proficient in various methods of voice restoration for pathologies of varying complexity.

General information about the procedure
Causes of voice changes that we treat at K+31

Surgeries on the vocal folds are performed on patients whose speech functions are impaired due to pathological processes in the larynx. This is manifested by a decrease in the strength of the voice, its hoarseness and hoarseness.


Such symptoms are typical for:

  • New growths of the vocal folds.
  • Scar membrane of the larynx.
  • Paresis and paralysis of the larynx.

In these cases, only surgery will help get rid of the pathology and restore voice function.

Preparing for surgery
  • Step 1 Examination by a therapist and an anesthesiologist who selects the appropriate anesthesia. As well as consultations with an endoscopist, pulmonologist and, if indicated, an allergist and cardiologist.
  • Step 3 Laboratory tests: general and biochemical blood tests, determination of sexually transmitted infections, coagulation system parameters and blood group. As well as a general urine test.
  • Step 2 Instrumental examinations: chest x-ray, electrocardiogram, pulmonary function test.
  • Additional All preparation issues can be discussed with the attending surgeon; additional specialist consultations and tests may be recommended, depending on concomitant diseases.
Stages of the procedure for surgical intervention on the vocal cords
General characteristics of the operation
  • Access through the larynx
  • Anesthesia method - endotracheal anesthesia
  • Operation time - 60-120 minutes
  • Hospital stay - 1-2 days
Stages of surgery
  • Surgery is performed in a hospital setting
  • The patient is intubated, put into medicated sleep and connected to a ventilator.
  • The surgeon gains access to the vocal folds. To do this, under the control of a microscope, a special support with an endoscopic instrument - a laryngoscope - is installed in the larynx.
  • Depending on the diagnosis and complexity of the operation, the procedure can last two hours. Further actions depend on the selected method.

Advantages of voice surgery at the K+31 clinic

  • Modern minimally invasive techniques. The surgical methods we use, which allow us to perform operations without violating the integrity of the walls of the larynx. This minimizes risks for the patient and allows you to achieve the desired result.
  • Highly professional specialists. The surgery department employs doctors with experience from 10 to 20 years.
  • Modern high-precision equipment. All operations are performed using the latest microscopic and microsurgical equipment made in Germany and America.
  • Own laboratory. Removed lesions are sent for histology to the clinic’s own laboratory. Thanks to this, the results can be ready on the same day, which allows you to quickly decide on further treatment tactics.

With care for patients, the clinic has created conditions that ensure diagnostic accuracy and safety of surgical interventions.

Types of surgical interventions at the K+31 clinic

The surgeon chooses the method of vocal cord surgery based on the diagnosis, condition and possible risks. The decision is made together with the patient.

Injection glottoplasty

Restores voice in patients with laryngeal paresis. The method is based on the use of special injections that “rejuvenate” the voice, making it clear and distinct. After the procedure, the ability to speak without difficulty improves.

Arithenochordectomy

Used to treat bilateral laryngeal paralysis, when the vocal folds cannot close completely. During the operation, the surgeon uses a laser to remove the stationary part of the arytenoid cartilage and vocal cord. Thus, the lumen of the larynx expands to restore the voice.

The operation can be performed as a stand-alone procedure or in combination with other surgical methods.

Endoscopic glottoplasty

This is a procedure that uses an endoscopic instrument to change the shape and tension of the vocal folds. The goal is to improve the tone of your voice.

The surgeon makes small incisions in the vocal folds and uses special instruments to change their shape and tension. This may involve removing some tissue or adding implants.

Laser assisted voice adjustment (LAVA)

During this procedure, the surgeon uses a laser instrument to remove or modify vocal fold tissue, allowing the pitch of the voice to change.

Laser reduction glottoplasty to improve voice tone

Удаляются нежелательные ткани вокруг голосовых связок, что позволяет улучшить голосовые характеристики пациента.

Thyroplasty

Aimed at lowering tone in patients with hyperfunction of the voice or vocal cords. There are several types, each of which has its own characteristics.

Removal of benign tumors of the larynx to improve voice function (swallowing) and perform histological verification

Under general anesthesia, the surgeon removes the tumor to restore normal anatomy and function of the larynx.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our specialists

Gutenko (Selenina) Tatyana Vitalievna
Gutenko (Selenina) Tatyana Vitalievna
ENT doctor
Experience: 21 year
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Portnyagina Maria Pavlovna
Portnyagina Maria Pavlovna
Audiologist-otorhinolaryngologist
Experience: 13 years
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Kochetkova (Minavnina) Yulia Vladimirovna
Kochetkova (Minavnina) Yulia Vladimirovna
Otorhinolaryngologist
Experience: 13 years
PhD
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Punkov Maxim Anatolevich
Punkov Maxim Anatolevich
ENT doctor
Experience: 20 years
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Koblova Tatyana Alexandrovna
Koblova Tatyana Alexandrovna
ENT doctor
Experience: 22 years
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Lapshina Anastasia Andreevna
Lapshina Anastasia Andreevna
Otolaryngologist, audiologist
Experience: 11 years
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Kaspranskaya Galina Rustemovna
Kaspranskaya Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Experience: 27 years
PhD
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Budeikina Liliya Sergeevna
Budeikina Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Experience: 11 years
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Lopatin Andrew Stanislavovich
Lopatin Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Experience: 45 years
Doctor of Sciences, PhD, professor
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Krahovetsky Nikolay Nikolaevich
Krahovetsky Nikolay Nikolaevich
ENT doctor
Experience: 17 years
PhD
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2GIS Award
2GIS Award

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«Good place» according to Yandex
«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Make an appointment at a convenient time on the nearest date

Price

Initial appointment with an otorhinolaryngologist
from 5 460 ₽
Repeated appointment with an otolaryngologist
from 5 460 ₽
Phonosurgical operation to shorten the vocal folds (Type 3 Thyroplasty)
from 350 000 ₽
Laryngoplasty (Injection glottoplasty)
from 184 800 ₽
Laryngoplasty (Endoscopic glottoplasty using a surgical laser)
from 311 900 ₽

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Reviews 43

Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna
I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich
The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna
The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Wonderful doctor! A top-class professional!
28.10.2025
I. Stanislav Arkadevich
A sensitive doctor, it's immediately obvious she's a true professional. She outlined the risks, and we're seeing great progress in treatment.
18.10.2025
E. Stanislav Yurievich
A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich
Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich
Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich

About doctor:

Osipova Irina Andreevna

A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich
Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna
Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna

About doctor:

Osipova Irina Andreevna

Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich
I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna
Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich
Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna
This isn't my first time visiting Anastasia Vladimirovna. I feel like I'm visiting a relative. She's the best doctor. Everything is always delicate, precise, meticulous, and she shows immense care and love for her profession.
25.09.2025
B. Evgeniya Evgenievna
A very competent specialist
24.09.2025
S. Elena Vladimirovna
A very good doctor!) Unfortunately, there are few like him...
18.09.2025
K. Olesya Vyacheslavovna

About doctor:

Punkov Maxim Anatolevich

A professional in his field. An excellent doctor.
16.09.2025
M. Natalia Vladimirovna
Wonderful doctor, simply wonderful! Tactful, kind, very responsive!
08.09.2025
E. Ekaterina Alexandrovna
Good afternoon! I would like to express my gratitude to Maria Pavlovna Portnyagina. A competent doctor, an impeccable appointment, an examination was conducted, an ultrasound was immediately agreed upon, a full examination and a set of measures to identify the problem were conducted. Thanks to Maria Pavlovna's appointment, we found out what was going on. I left with an understanding of my health condition and exhaled after the examinations, this rarely happens when you think - this is a doctor, it was not in vain that I came to her. I ask the management to note according to the procedures and policies of the Clinic. I left the appointment with a feeling that you were heard, the problem was considered, the most valuable thing is quickly, efficiently, and not indifferently. That very case when you think - it was not in vain that I went to the doctor. Everything is clear, precise, competent. Time is always very precious, you can spend a lot of time and leave with nothing. Whether you were or were not at the doctor, with the same questions, fears, uncertainty. The best ENT doctor in my life! Maria Pavlovna - thank you. Sincerely, Elena
07.09.2025
K. Elena Vladimirovna
I was extremely satisfied. The doctor was very attentive and competent. Thank you very much.
01.09.2025
L. Vladislava Vasilievna

About doctor:

Osipova Irina Andreevna

Excellent professional, attentive, neat.
28.08.2025
L. Alexander Sergeevich
After the injury, I started having serious hearing problems. I didn't go to the doctor right away and let the disease get worse. I made an appointment with audiologist-otorhinolaryngologist M.P. Portnyagina. The doctor is experienced, responsive, with a lot of work experience. She identified my problem from the first minutes of the appointment and was generally very pleasant to talk to. The doctor showed me all possible hearing aid options - the consultation was clear and understandable. Thank you for the opportunity to be observed by such competent specialists.
25.08.2025
Anonymously
I was very pleased with my visit to Doctor Varvyanskaya A.V. The doctor listened to me attentively, examined my larynx in the most thorough manner, asked me in detail about the symptoms, compared the data from various tests, sorted out my problem, gave detailed explanations of the diagnosis and recommendations for treatment. I left calm and confident that everything would be fine with me.
18.08.2025
Goryunov M. A.
I express my heartfelt gratitude to the ENT doctor Tetsoeva Z.M. for her professionalism, attentiveness and kindness. The doctor carefully examined my throat, explained everything and gave recommendations for treatment. At the appointment, I felt a sincere desire to find the cause of my illness and help with the solution of this health problem. I confidently recommend this specialist.
18.08.2025
Goryunov M. A.
I liked everything, the doctor examined me and explained everything within the framework of my request, and the doctor was also very pleasant to talk to!
12.08.2025
D. Dmitry Vladimirovich

About doctor:

Punkov Maxim Anatolevich

The best clinic I've ever been to! Doctor Osipova I.A. is the best ENT!!! I had an appointment with Fotina E.V. A real female doctor, a wonderful specialist and person❤️
11.08.2025
Vasilisa M.
I visited the ENT doctor Varvyanskaya A.V. twice. I liked everything, the appointments are very comfortable, I will be happy to recommend the clinic and the doctor to my friends.
08.08.2025
Anonymously
Appointment with Dr. Samarin. The only otolaryngologist in Moscow that I trust. Thank you for your professionalism and sensitivity.
08.08.2025
Anonymously
Amazing doctor, helped me to understand my ear and nose issues, explained everything and prescribed adequate treatment
06.08.2025
K. Andrey Yuryevich

About doctor:

Punkov Maxim Anatolevich

I would like to express my sincere gratitude to the ENT doctor Irina Andreevna Osipova. She is a true professional with extensive experience and deep knowledge in the field of ENT rheumatology. She listened carefully to all the complaints, and approached my case — Wegener's vasculitis — very competently. She gave clear, well-founded recommendations, explained everything in understandable language, and instilled confidence. It is obvious that the doctor works with soul and sincerely cares about her patients. Thank her for her sensitivity, attentiveness, and high professionalism!
06.08.2025
K. Sergey Alexandrovich

About doctor:

Osipova Irina Andreevna

The doctor is very attentive and professional. I really enjoyed the visit.
30.07.2025
V. Yulia Nikolaevna
Excellent doctor, very competent in resolving the issue. Listened to the complaint, provided due assistance.
29.07.2025
D. Nikolai Dmitrievich
Everything is great as always, I hope the treatment will be beneficial!
23.07.2025
K. Ekaterina Alexandrovna
Everything is great, they prescribed treatment, we will continue!
01.07.2025
N. Roman Gennadievich
Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.

About doctor:

Osipova Irina Andreevna

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
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