Resection of Vocal Fold Polyps and Nodules with a Flexible Fiberscope

Abstract

Although endolaryngeal microsurgery is now regarded as the optimal method to remove small lesions of the larynx, resection of these lesions with a flexible fiberscope under local anesthesia is easy and can be performed in outpatients. The purpose of this study is to investigate the surgical results and indications for this technique.
One hundred and forty-eight patients with vocal fold polyps or nodules underwent resection of these lesions by this technique. Aerodynamic and acoustical evaluation of the pre- and postoperative patients' voice showed marked improvement after surgery. Postoperatively ninety-five per cent of these patients recognized a subjective improvement of their voice. No complications were found. However, some patients required postoperative voice therapy.
Although this technique is thought to be safe and easy, the vocal fold nodule, which looks round and hard and has a smooth surface, should be treated by endolaryngeal microsurgery under general anesthesia.