Videoendoscopic Laryngeal Surgery Using a Flexible Endoscope

Abstract

The ideal laryngeal surgical procedures are performed under local anesthesia so that the voice can be monitored during surgery. In our department, we have been performing videoendoscopic laryngeal surgery under local anesthesia using a flexible endoscope since October 2003. Here, we report on basic techniques together with certain special techniques used to date.
In our department, the procedure is regarded as best suited for treatment of patients with vocal polyps and other protruding lesions. The procedure commences by incising the lesion using a scalpel and resecting with forceps. Flexible endoscopes fitted with an NBI system are useful for both qualitative diagnosis and confirmation of tumor margins.