Operating Room Procedures

Question 1

How does microlaryngoscopy work?

Answer 1

excision of a lesion w/ suspension, binocular microscope, and forceps (retract) and microscissors (excise)

Question 2

When is a microlaryngoscopy used?

Answer 2

nodular lesions or small polypoid lesions

Question 3

How does a microflap dissection work?

Answer 3

initial incision on the VFs surface, followed by dissection into Reinke’s space to dissect out pathology and remove swelling, with the tissue then being draped over itself to heal

Question 4

When is a microflap dissection used?

Answer 4

removal of larger lesions (polyps, Reinke’s edema, cyst) or submucosal lesions

Question 5

How does a laser laryngoscopy work?

Answer 5

focused bream of energy used to burn/vaporize tissue, with Co2 laser

Question 6

When is a laser laryngoscopy used?

Answer 6

papilloma and vascular lesions and in procedures such as hemilaryngectomy

Question 7

What are the pros for laser laryngoscopy?

Answer 7

more precise cut or excision w/ less burn injury to surrounding tissues

Question 8

What are the cons of laser laryngoscopy?

Answer 8

Co2 laser can only be delivered to line of sight, risk of thermal injury or scarring to adjacent tissue, risk of airway fire (co2), increase in cost, personnel and time