Voice Surgery
Phonosurgery
Anatomy & Physiology of the Voice Tract
Evaluation History Physical Exam Performance Evaluation Voice Laboratory
Surgery Patient Selection Informed Consent
Laryngeal Surgery
Endoscopic Surgery Indirect Laryngoscopy Elective Neck Percutaneous
Direct Laryngoscopy Anesthesia Local General
Instrumentation
Laryngeal Laser Surgery Carbon Dioxide
Laser Usage Advantages/ Disadvantages Uses
Laryngeal Laser Surgery Advantages 1) Hemostasis 2) Visibility 3) Tissue Manipulation
Laser Surgery Advantages: 1) Selected Lesions -varicosities -benign friable lesions on superior surface -other
Laser Surgery Disadvantages: 1) Loss of tissue 2) Thermal Injury 3) Laser fire
Laryngeal Laser Surgery Conclusions: 1) Valuable addition 2) Hazards preclude injudicious use 3) Fully educated team 4) Adequate tissue sample 5) On vibratory margins, use only when there is clear advantage over traditional methods
Nodules
Cyst Polyp Reinke’s Edema Papilloma Web Arytenoid dislocation Vocal fold paralysis Sulcus Volcalis Vocal fold scars
Reinke’s Edema
Papilloma
Carcinoma
Web
Hemorrhage
Scar
Sulcus Vocalis
“Bowed” Vocal Folds
Vocal fold paralysis
Arytenoid Dislocation