Our expert says:
You need to establish the real reason for the tracheostomy. If the cause is reversable, the tube may be removed. This clearly depends on the origin of the lump, etc. If it was cancerous, this may have caused the vocal cord palsy. It is not possible to give an opinion without all the facts, but in cases were the vocal cord problem is temporary, the tube may be removed only if the problem resolves, otherwise you will not have an adequate airway.
The best advice would be to establish all the facts, and then decide on further management.
If the problem is immobile vocal cords, then the problem could be more permanent, and one should embark on methods to correct that surgically, such as with laser.
You would need the opinion of a Head and Neck surgeon on this, so ask your doctor if this is his/her field of expertise. In the interim, one could enquire about the more comfortable types of trachy tubes that are made for longterm use, and which are indeed very comfortable to use.
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