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.
Surgery is also an option and can result in some restoration of the voice but is ineffective in complete restoration of the voice to its original state. Decortication of the vocal folds, i.e. removal of a strip of epithelium, is done first on one side and 3â4 weeks later on the other side.