Endoscopic Laryngeal Surgeries
Endoscopic laryngeal surgeries are minimally invasive procedures performed to diagnose and treat various disorders of the larynx (voice box) using an endoscope. These surgeries are commonly used to address conditions affecting voice, breathing, or swallowing while preserving the integrity of surrounding tissues.
Indications for Endoscopic Laryngeal Surgery
- Benign Lesions: Vocal cord polyps, nodules, cysts, or papillomas.
- Malignant Lesions: Early-stage laryngeal cancer or premalignant conditions.
- Airway Obstruction: Subglottic stenosis or laryngeal web.
- Functional Disorders: Spasmodic dysphonia or vocal fold paralysis.
- Infectious or Inflammatory Conditions: Chronic laryngitis or granulomas.
Procedure Overview
Endoscopic laryngeal surgeries are typically performed under general anesthesia. A rigid or flexible endoscope equipped with a camera and surgical tools is introduced through the mouth to access the larynx. The procedure allows precise visualization and targeted intervention without the need for external incisions.
Techniques Include:
- Microlaryngeal Surgery (MLS): Utilizes microscopes for detailed visualization of the vocal folds.
- Laser-Assisted Surgery: High-precision lasers, such as CO2 lasers, are used for cutting or vaporizing abnormal tissues.
- Coblation Technology: Uses radiofrequency energy for tissue removal with minimal thermal damage.
Advantages
- Minimally invasive with no external scars.
- Reduced tissue trauma and faster recovery.
- Enhanced precision for delicate structures like vocal cords.
- Shorter hospital stays and fewer postoperative complications.
Recovery and Postoperative Care
- Patients may experience temporary hoarseness or discomfort.
- Voice rest and proper hydration are recommended to aid healing.
- Regular follow-ups ensure proper recovery and monitor for recurrence of the condition.
