Abstract
The standard operative method for laryngeal disease is laryngeal microsurgery under general anesthesia (LMS). LMS can be performed by a single operator, but general anesthesia and hospitalization are necessary. On the other hand, one-day laryngeal videoendoscopic surgery (LVES) can be performed under local anesthesia at the outpatient department. However, a single operator cannot perform this procedure and an assistant is required. Also, LVES requires a special pair of forceps. LVES was performed by a single operator at our institution with just a regular appliance. We report on this device.
LVES was performed on 50 patients at Mita Hospital from January 2007 to June 2009. During the same period, LMS was performed on 329 patients. The operation was performed under local anesthesia. The pharynx and larynx were anesthetized carefully with lidocaine. After they were sufficiently anesthetized, the operator held the forceps with the right hand and the endoscope with the left hand and completed the surgery. None of the cases required the operation to be suspended ; the successful execution rate of the operation was 100%.
LVES is a simple and easy operation that can be performed by an operator alone using just a regular forceps.
