Geography. Honduras, in the north-central part of Central America, has a Caribbean as well as a Pacific coastline. Guatemala is to the west, El Salvador to the south, and Nicaragua to the east.The second-largest country in Central America, Honduras is slightly larger than Tennessee.onduras, in the north-central part of Central America, has a Caribbean as well as a Pacific coastline. Guatemala is to the west, El Salvador to the south, and Nicaragua to the east. The second-largest country in Central America, Honduras is slightly larger than Tennessee.
The surgery can affect their ability to sing and even change their vocal range. Julie Andrews and Ryan Key both lost the majority of their ability to sing after they had vocal cord nodule surgeries. General anesthesia is administered first. For manual removal of the nodules, scalpels and surgical scissors are used.
Prior to thyroid surgery it is important to establish that the vocal cords are functioning and moving normally and that the primary thyroid problem, or previous thyroid surgery has not affected the vocal cord function and mobility. This is normally done by an ENT surgeon who will carry out a laryngoscopy in the clinic.