Guidelines For Voice Rest

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Guidelines for Voice Rest

Voice rest is very important after vocal fold surgery. Your vocal folds will not
heal properly if they are overused during this time. If you use your voice a lot
at work we recommend you take two weeks off to give yourself time to rest
and heal.

Immediately after surgery (first 72 hours):

 Do not talk or whisper, laugh out loud, sing, cough or clear your throat. Use a
notepad and a pen to communicate during this time.
 Drink plenty of fluids, avoiding caffeinated or alcoholic drinks which dry out your
vocal folds.
 Do not smoke. Avoid smoky atmospheres.
 Do not answer the telephone; ask people to text or email instead.
 Avoid heavy lifting, pushing and pulling including gym and aerobic activity.
 Follow your reflux management guidelines as normal.
 After 48 hours use steam inhalations (especially if your throat feels dry). Breathe in
the steam for 5 minutes 4-5 times a day. Use hot water rather than boiling to avoid
scalding.
 Avoid playing wind or brass instruments (the blowing technique can result in forceful
vocal fold contact).

After 72 hours:

 Speak no louder than a soft conversational volume.


 Speak less often than usual and gradually increase the amount that you use your
voice each day (initially about 10% of normal).
 Do not shout, clear your throat, cough unnecessarily, laugh loudly, whisper, raise
your voice or sing.
 Try to avoid using the phone and if you do keep the conversation short.
 Try to have periods of voice rest between speaking.
 Keep drinking lots of fluid and inhaling steam twice a day.
 Continue following your reflux management guidelines.
 Take time to relax each day.

If you have exercises from your voice therapist you can start practicing them again on day
5 post surgery for 1 -2 minutes at a time.
After 2 weeks:

 Talk about 50% of normal.


 Continue to avoid shouting, clearing your throat, coughing, whispering and laughing
loudly.
 Continue to practice any exercises that your therapist has given you.
 If you are a singer you can now start to practice some gentle pitch glides - ask your
voice therapist to suggest appropriate exercises.
 If you are a singer remember that your voice use is cumulative and the amount you
use your voice overall includes your speaking and singing.
 Aim to schedule your voice use and vocal practice into several short sessions
scattered throughout the day.

After 3 weeks:

 Increase voice use to about 75% of normal.


 If you are a singer you can now start singing again within a comfortable volume and
pitch range (you should not attempt to produce your performance sound quality at
this stage).
 Continue to practice frequently in short regular sessions.
 Continue to follow your voice care advice.

After 4 weeks:

 Return to normal vocal activities whilst taking care to avoid any of the vocal
behaviours that may have contributed to your initial voice problem.
 If you are a singer it is a good idea to work with an appropriately trained singing
teacher to help you with any compensatory mechanisms that you may have
developed as a result of singing with a compromised larynx.

After 6 weeks:

You should now be feeling back to normal. Please do contact your voice therapist or ENT
Consultant if you are continuing to experience problems. If you are a singer you should now
be able to go back to performing.

If you need further advice during this period please contact the Voice Team in the
Speech and Language Therapy Department on 01752 432 202

You might also like