Mucosal Suture for the Treatment of Postoperative Vocal Fold Adhesion Following the Microlaryngeal Surgery for Papilloma

Abstract

A 69-year-old man relapsed into laryngeal papilloma of the anterior commissure. The papilloma was subjected to laryngeal microsurgery using an oblique-angled solid tele-endoscope combined with direct laryngoscopy. After the operation, some adhesion developed near the anterior commissure, though no recurrent laryngeal papilloma was confirmed. The vocal cord adhesion was, therefore, separated at the adhesive site. After the separated area was irradiated by laser, a mucosal suture was performed in order to produce a margin. This treatment resulted in a relapse of papilloma, as well as improved postoperative voice quality, and allowed early rehabilitation.