 Nature of the proposed procedure including risks and complications of bleeding, infection, alteration of voice, speech, swallowing, voice changes permanently, possibility of tracheotomy temporarily or permanently to maintain his airway, loss of voice, cardiac risk factors, anesthetic risks, recurrence of problems, upon surgical intervention were all discussed at length. 
Nature of the proposed procedure including risks and complications of bleeding , infection , alteration of voice , speech , swallowing , voice changes permanently , possibility of tracheotomy temporarily or permanently to maintain his airway , loss of voice , cardiac risk factors , anesthetic risks , recurrence of problems , upon surgical intervention were all discussed at length .