A reduction of the prominence of the thyroid notch should not have a long term effect on your singing voice if done properly, as only the anterior (or "front) surface of the cartilage is typically reduced, as your vocal folds (or vocal cords) attach on the posterior (or "back") surface of this. This should not have a long term effect on your singing voice. However, as it has only been one month since surgery, there is a chance that local swelling can account for the change in pitch, as your voice is the most finely tuned instrument there is, and it takes just the smallest disturbance to throw this off of tune. That said, I think that at the one month point I would wait, as local swelling in the surrounding area after surgery is expected. Laryngoscopy and stroboscopy would tell you much more, though my inclination is to give it time. These would be especially helpful if you had preoperative exams to compare to, which singers often do.Summit Kundaria, MDNuance Facial PlasticsCharlotte, NC
A shave of the laryngeal eminence or Adams Appleshould not disturb the attachments of the vocal cords . The shave should not be too deep. Indirect laryngoscopy or fiberoptic laryngoscopy wouldbe appropriate to directly visualize the vocal cord motion to determine if there is any trauma or injury to the vocal cords or even video stroboscopy. which will detect fine vocal cord aberrations with motion during vocalization.Michael Eisemann M.D.Plasticv surgeon/ Otolaryngologist Head and Neck SurgeonHouston. Texas
