Ergebnisse operativer Behandlung von Knötchen und Polypen der Stimmlippen bei Erwachsenen

Wendler, Jürgen; Seidner, Wolfram

doi:10.1159/000263531

Cited by 14 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 With the available resources, we have modified the single-surgeon indirect microlaryngoscopic technique originally described in the 1970s, by replacing the laryngeal mirror and operating microscope with the 70 rigid telelaryngoscope attached to the wireless camera and a laptop for visualization of the larynx. 16 A similar technique has been described using the stroboscopic light and video-camera attached to the telelaryngoscope, which allowed excellent magnification and observation of the procedure on the TV-monitor. 17 However, these procedures were confined to the subspecialist voice clinics, and to our knowledge, there has been no evidence of whether the stroboscopic light has an advantage over the conventional cold light for performing this type of surgery.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Office‐Based Removal of Vocal Fold Polyp During the COVID‐19 Pandemic

Cukic

2021

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…With the available resources, we have modified the single‐surgeon indirect microlaryngoscopic technique originally described in the 1970s, by replacing the laryngeal mirror and operating microscope with the 70° rigid telelaryngoscope attached to the wireless camera and a laptop for visualization of the larynx 16 …”

Section: Discussionmentioning

confidence: 99%

Office‐Based Removal of Vocal Fold Polyp During the COVID‐19 Pandemic

Cukic

2021

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…The first reported removal of VFP was in 1861 Berlin when Victor von Bruns removed the vocal fold polyp from his brother's larynx using the special curved forceps under the indirect visual control provided by the laryngeal mirror (21). The basic principle of the operation remained the same, while the visualization of the larynx during the procedure evolved by using the operating microscope in front of the laryngeal mirror (22), or by connecting the rigid 70-or 90-degree pharyngolaryngoscope to the video camera and TV monitor (23), high-definition camera and endoscope tower (24), or wireless camera and personal computer screen (25). The operation is performed with the patient seated for the routine mirror laryngoscopic examination.…”

Section: Cold-steel Excisionmentioning

confidence: 99%

Current surgical treatment modalities for vocal fold polyps: A mini-review

Čukić,

Jovanović,

Arsović

2023

Medicinski podmladak

View full text Add to dashboard Cite

Vocal fold polyps represent one of the most common benign organic disorders affecting the larynx in the general population, and a relatively frequent cause of long-standing hoarseness. The exact etiology is unclear, but poor vocal behavior has been suggested as the principal etiologic factor. Histopathologically they are characterized by various structural alterations in the vocal fold superficial lamina propria, and typical clinical finding is of a solitary, unilateral and well-defined vocal fold lesion. Vocal fold polyps usually require surgical removal using microlaryngoscopy with cold steel excision in general anesthesia, which has been the practice standard for the last 60 years. Microlaryngoscopy offers the surgeon an unparalleled magnified view of the vocal folds and very precise work on a still operative field without a specific time limit. The introduction and technological development of ambulatory endoscopy and various laser systems provided the surgeon with ample therapeutic opportunities, including operating some of the patients in the office setting in local anesthesia. These outpatient procedures are technically simple and cost-effective, require fewer medical personnel, exclude general anesthesia-related risks, and are less time-consuming both for the patient and the physician. Nevertheless, the contemporary laryngologist should be able to perform both conventional microlaryngoscopy and office-based surgery for vocal fold polyps, depending on the clinical situation.

show abstract

“…The concept of indirect laryngeal surgery (ILS) using the transoral route in an awake patient was established in Berlin in 1861 when Victor von Bruns performed VFP removal in his brother using mirror laryngoscopy with a specially designed curved instrument 2 . The exposure of the larynx in ILS was greatly improved by magnifying the laryngeal mirror view with the operating microscope 3 . However, transoral manipulation with a long, curved laryngeal forceps under mirror vision and without directly visualising the tip of the instrument required a certain degree of manual dexterity.…”

Section: Introductionmentioning

confidence: 99%

Indirect laryngeal surgery of vocal fold polyps: a dying or evolving art?

Cukic

Radaljac

Arsović

et al. 2023

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

Objective. Vocal fold polyps (VFPs) are the most common benign laryngeal lesions that require surgery and are routinely managed by microlaryngoscopy (MLS) under general anaesthesia. Prior to introduction of MLS, VFPs were removed using indirect laryngoscopic surgery (ILS) in local anaesthesia, a procedure that required substantial surgical skill to operate with an unmagnified mirror view of the larynx. With the adoption of wireless endoscopy equipment and personal computers, we tried to simplify this technique so that it can be easily performed in the office. This study aimed to assess the effectiveness of ILS by comparing voice outcomes with MLS. Materials and methods. ILS and MLS were performed in six patients each. Treatment outcomes were measured using a voice self-assessment and objective acoustic analysis. The total cost of both procedures was calculated. Results. Both techniques allowed successful removal of VFPs in all patients, without significant intergroup differences in voice outcomes. The cost of ILS was significantly lower. Conclusions. Despite the pilot nature of the study and the small sample size, our data indicate the potential value of this technique which, considering its simplicity and economic value could be used as an alternative to MLS in carefully selected patients.

show abstract

Ergebnisse operativer Behandlung von Knötchen und Polypen der Stimmlippen bei Erwachsenen

Cited by 14 publications

References 8 publications

Office‐Based Removal of Vocal Fold Polyp During the COVID‐19 Pandemic

Office‐Based Removal of Vocal Fold Polyp During the COVID‐19 Pandemic

Current surgical treatment modalities for vocal fold polyps: A mini-review

Indirect laryngeal surgery of vocal fold polyps: a dying or evolving art?

Contact Info

Product

Resources

About