Microlaryngoscopy is a minimally invasive procedure used to diagnose and treat conditions of the voice box. At Melbourne ENT in St Kilda East, Dr Stephen Kleid and Dr Simon Braham perform this precise surgery under general anaesthesia using a microscope or endoscope.
What It Treats
Microlaryngoscopy is used for:
- Persistent hoarseness
- Vocal cord nodules, cysts, polyps, or papillomas
- Suspected laryngeal cancer
- Vocal cord weakness or paralysis
- Chronic throat pain or breathing issues
It allows diagnosis (via biopsy) and treatment – all through the mouth, with no external cuts.
Who Might Need It
Adults or children with ongoing voice changes, chronic cough, or unexplained throat symptoms may benefit – especially if symptoms persist beyond three weeks. It’s often recommended for voice professionals such as singers or teachers.
Benefits
- Clear diagnosis and biopsy
- Relief from hoarseness or throat discomfort
- Early cancer detection
- Minimal discomfort and quick recovery
- Often eligible for Medicare rebates
The Procedure
Performed under general anaesthetic, a rigid scope is passed through the mouth. Using magnification, your surgeon inspects the vocal cords, removes lesions, or injects fillers. The procedure takes 30–90 minutes, and most patients go home the same day.
Recovery
Recovery takes 1–2 weeks. Expect mild soreness or hoarseness early on. Voice rest is advised for 2–3 days. Follow-up includes a review of healing and any biopsy results.
Risks
Microlaryngoscopy is low risk. Possible issues include temporary hoarseness, minor bleeding, or swelling. Our team takes steps to minimise these.
Costs and Coverage
Costs vary based on complexity and insurance. Medicare item numbers 41855 or 41861 may apply. We provide quotes and help with rebates during your consultation.
Microlaryngoscopy FAQs
Is this suitable for singers or teachers?
Yes – it’s often used for voice professionals to treat lesions affecting performance.
Can I speak after the procedure?
You’ll usually need voice rest for 48–72 hours to aid healing.
Does it show things scans might miss?
Yes – it provides a detailed view that can reveal early or subtle issues.
What if something unexpected is found?
Your surgeon may biopsy or remove it during the procedure, as discussed beforehand.
Is my airway safe during surgery?
Yes. A breathing tube is used while you’re asleep, managed by the anaesthetist.
Any preparation needed?
Yes. You’ll be advised to fast and may need to adjust medications. Instructions are given beforehand.
Can it help if I feel a lump but my voice is normal?
Yes. Persistent throat sensations may indicate a treatable issue.
Take the First Step Toward Better Vocal Health
If you have hoarseness, throat discomfort, or breathing issues, early assessment can help. To book a consultation:
We’re here to help you breathe, speak, and feel better.
Further Reading
- Read more about How to Care for your Professional Voice
- Read more about Throat Concerns and Conditions
- Read more about Voice and Larynx Disorders
Why Choose Dr Kleid ?

Dr Stephen Kleid,
Melbourne ENT Surgeon
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Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
Qualifications
- AHPRA (Medical Board)
- MB, BS; FRACS (Fellow of the Royal Australasian College of Surgeons)
- AAFPS – Member of the Australasian Academy of Facial Plastic Surgery
- AAFPRS – (International Member of the American Academy of Facial Plastic and Reconstructive Surgeons)
Dr Kleid’s Procedures
Why Choose Dr Braham ?

Dr Simon Braham,
Melbourne ENT Surgeon
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Dr Simon Braham MBBS (Hons) FRACS is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne, performing tonsil, grommet and sinus surgery for children & adults. He helps patients with breathing issues, snoring concerns and sleep disturbances.
Dr Braham’s Procedures
How can we help?
The Melbourne ENT Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the St Kilda East clinic in Melbourne between 9am – 5 pm on Weekdays.
What Next?

Want more information about your Procedure?
- Please read our website and blogs to find out more about your procedure and concerns
- For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
- Talk to our Patient Care Team from 9 am to 5 pm Monday to Friday

What to Bring to Your Consultation
- We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
- It is important to take thorough notes and carefully review all the documents provided to you.

How to Book a Consultation
- A referral from your GP or Specialist is necessary to see a surgeon for a consultation.
- Dr Kleid’s Nose Surgery consultation fee is $600 which includes a nasendoscopy ($300).
- Please contact us to book your consultation.
