1. Voice Surgery

2. Phonosurgery

3. Anatomy & Physiology of the Voice Tract

4. Evaluation
History
Physical Exam
Performance Evaluation
Voice Laboratory

5. Surgery
Patient Selection
Informed Consent

6. Laryngeal Surgery

7. Endoscopic Surgery
Indirect Laryngoscopy
Elective
Neck
Percutaneous

8. Direct Laryngoscopy
Anesthesia
Local
General

9. Instrumentation

10. Laryngeal Laser Surgery
Carbon Dioxide

11. Laser Usage
Advantages/ Disadvantages
Uses

12. Laryngeal Laser Surgery
Advantages
1) Hemostasis
2) Visibility
3) Tissue Manipulation

13. Laser Surgery
Advantages:
1) Selected Lesions
-varicosities
-benign friable lesions on superior surface
-other

14. Laser Surgery
Disadvantages:
1) Loss of tissue
2) Thermal Injury
3) Laser fire

15. 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

16. Nodules

17. Cyst
Polyp
Reinke’s Edema
Papilloma
Web
Arytenoid dislocation
Vocal fold paralysis
Sulcus Volcalis
Vocal fold scars

18. Reinke’s Edema

19. Papilloma

20. Carcinoma

21. Web

22. Hemorrhage

23. Scar

24. Sulcus Vocalis

25. “Bowed” Vocal Folds

26. Vocal fold paralysis

27. Arytenoid Dislocation