A medical technique to repair damaged vocal chords, pioneered in Bristol, is proving popular among patients.
Patients have to speak during the procedure - known as Gortex Medicalisation - to make sure vocal chords are being moved correctly.
The vocal chords are pulled into the correct position using soft Gortex.
A paper is soon to be published showing high satisfaction levels amongst patients attending Southmead Hospital for the operation.
In the past, patients had to be put under a general anaesthetic while their vocal chords were operated on.
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