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Microsurgical pressing excision technique for vocal nodules and simple epithelial hyperplasia of the vocal fold

Published online by Cambridge University Press:  08 March 2006

Ka-Wo Lee ,
Wen-Rei Kuo ,
Kuen-Yao Ho  and
Feng-Yu Chiang
Ka-Wo Lee
Affiliation:
Department of Otolaryngology, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Wen-Rei Kuo
Affiliation:
Department of Otolaryngology, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Kuen-Yao Ho
Affiliation:
Department of Otolaryngology, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Feng-Yu Chiang
Affiliation:
Department of Otolaryngology, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
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Abstract

Precise bimanual microsurgical excision of sessile, thin benign epithelial lesions of the vocal folds can be difficult. During microlaryngeal surgery, the potential risks of over-excision and under-excision are of major concern. We introduce a microsurgical technique using horizontally-opening curved microforceps and microscissors, instead of the conventional vertically-opening microinstruments, to remove vocal nodules and simple epithelial hyperplasia. The treatment results were satisfactory, with 208 (90.8 per cent) of patients retaining a satisfactory/normal (G0) voice. No patient had a worsened voice after the procedure. This microsurgical pressing excision technique is an alternative precise method for microlaryngosurgery.

Keywords

LarynxVoice DisordersOperative Surgical Procedures
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 118 , Issue 3 , March 2004 , pp. 223 - 227
Copyright
© Royal Society of Medicine Press Limited 2004

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