KOICHI OMORI, MD; TOMOKO TSUJI, MD; KAORU SHINOHARA, MD; HISAYOSHI KOJIMA, MD

KYOTO, JAPAN

This paperpresents the technique and outcome of videoendoscope-assisted laryngeal surgery performed with office-based equipment under topical anesthesia. The laryngeal image is displayed by a flexible videoendoscope with a charge-coupled device. Specially designed fine-tipped forceps, scalpels, and suction tubes are used. At each step of the surgery, the patient's voice and vocal folds are monitored and evaluated for functional control. Functional videoendoscopic laryngeal surgery was undertaken in 159 cases. Two patients were slightly intoxicated by topical anesthesia. No other complications were seen. In 55 vocal fold polyp cases, there was no recurrence and postoperative vocal function was improved. In 8 granuloma cases, there were 2 cases of recurrence. In 4 Reinke's edema cases, submucosal myxoid material was successfully removed and vocal function was improved. Functional videoendoscopic laryngeal surgery provides a minimally invasive procedure for resection of laryngeal lesions while monitoring the patient's voice and enabling clear visualization of the vocal folds during phonation.