声帯膜様部病変に対するビデオラリンゴ下の喉頭微細手術

抄録

We have performed endoscopic laryngomicrosurgery under general anesthesia for 14 years; during this time, all of these procedures have been successful. Endoscopic laryngomicrosurgery for midmembranous vocal fold lesions, including polyps, nodules and cysts were easily and safely performed under a video-laryngoscope, especially when a high vision monitoring system was used. In this paper, we present a number of tips for performing endoscopic laryngomicrosurgery for midmembranous vocal fold lesions under general anesthesia.To prevent the tremor of the surgeon’s fingers during the microflap maneuver, a multitask arm board was found to be useful as an arm-rest. Furthermore, the placement of a cotton ball at the subglottis was useful for stabilizing the apex of a forceps during the resection of midmembranous vocal fold lesions.