Why Can't My Mom Speak Two Weeks After Mitral Valve Replacement Surgery?

Why is it impossible to speak after mitral valve replacement surgery?

My mother underwent mitral valve replacement surgery two weeks ago, and she still cannot speak.

Mi Mi, 30~39 year old female. Ask Date: 2006/12/07

Dr. He Dongjin reply Cardiology

Dear Mimi, this may be related to the anesthesia used during surgery to place the endotracheal tube to assist with breathing, which could potentially affect vocal cord function.
My father experienced similar issues; even after more than six months post-surgery, his voice remained hoarse.
This is not specifically linked to any particular type of surgery.
If you are still unable to speak, please consult an otolaryngologist.
Changhua Hospital cares about you.

Reply Date: 2006/12/07

More Info

After mitral valve replacement surgery, it is not uncommon for patients to experience temporary changes in their ability to speak. This can be attributed to several factors related to the surgery itself, the anesthesia used, and the overall recovery process.

Firstly, during heart surgery, patients are typically placed under general anesthesia, which can affect the vocal cords and the muscles involved in speech. The intubation process, where a tube is inserted into the trachea to assist with breathing during surgery, can also irritate or injure the vocal cords. This irritation can lead to hoarseness or even temporary loss of voice, which may take some time to resolve.

Secondly, the recovery process after such a significant surgery can be physically taxing. Patients often experience fatigue, weakness, and a general sense of malaise as their bodies heal. This can impact their ability to speak clearly or at all, as they may not have the energy or strength to engage in conversation.

Additionally, it is important to consider the psychological aspects of recovery. Surgery can be a traumatic experience, and some patients may experience anxiety or depression, which can further inhibit their willingness or ability to speak. If your mother is feeling overwhelmed or anxious about her recovery, this could also contribute to her inability to vocalize.

In terms of recovery, it is crucial to monitor her progress closely. If she is unable to produce any sound after two weeks, it is advisable to consult with her healthcare team. They may recommend a speech therapist who can assess her vocal function and provide targeted exercises to help her regain her ability to speak. Speech therapy can be particularly beneficial in addressing any physical or psychological barriers to communication.

Furthermore, it is essential to ensure that there are no underlying complications from the surgery that could be affecting her ability to speak. For instance, if there are issues related to her airway or if she is experiencing significant swelling in her throat, these could impede her ability to vocalize. Regular follow-up appointments with her cardiologist or surgeon will be important to rule out any complications.

In conclusion, while it is not unusual for patients to experience temporary voice loss after mitral valve replacement surgery, it is important to remain vigilant and proactive in her recovery. Engaging with her healthcare providers, considering speech therapy, and providing emotional support can all contribute to her healing process. If her inability to speak persists, further evaluation will be necessary to ensure that her recovery is on track and to address any potential complications.

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