Laser Excision of Early Vocal Cord Carcinoma: Indications, Limitations, and Precautions

A 50 years old male patient was admitted with complaints of change in voice for 2 years, dry cough 2 month and difficulty in breathing for 1 month. On examination with fiberoptic laryngoscope, an exophytic lesion covered with whitish plaque involving right vocal cord extending from anterior commissure to right arytenoid region, extending upto the right vestibular area and hanging in the subglottic area was seen. Patient was treated with Microlaryngeal Laser excision and the Histopathology report was suggestive of Verrucous Carcinoma of Larynx. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 208-211

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Laser Lateralization for Bilateral Vocal Cord Abductor Paralysis

Otolaryngology ◽

10.1177/019459988509300514 ◽

1985 ◽

Vol 93 (5) ◽

pp. 645-649 ◽

Cited By ~ 16

Author(s):

Kenneth Remsen ◽

William Lawson ◽

Niroo Patel ◽

Hugh F. Biller

Keyword(s):

Vocal Cord ◽

Revision Surgery ◽

Vocal Cord Paralysis ◽

Anesthetic Management ◽

Laser Microsurgery ◽

Abductor Paralysis ◽

Laser Excision ◽

Thyroarytenoid Muscle

Unilateral laser excision of the thyroarytenoid muscle combined with suture lateralization of the vocal ligament was successful in 13 of 14 patients (93%) treated for bilateral abduction immobility sufficient to require tracheotomy. Among the four patients requiring revision surgery, three had cricoarytenoid fixation and one had vocal cord paralysis. All patients had a satisfactory voice after surgery. The anesthetic management of laser microsurgery is discussed.

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Combined use of endoscopic CO 2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s004050050239 ◽

2000 ◽

Vol 257 (5) ◽

pp. 276-278 ◽

Cited By ~ 1

Author(s):

M. Csanády ◽

L. Rovó ◽

J. Jóri

Keyword(s):

Neck Dissection ◽

Vocal Cord ◽

Radical Neck Dissection ◽

Laryngeal Tumor ◽

Combined Use ◽

Laser Excision

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The Endoscopic Management of Early Squamous Carcinoma of the Vocal Cord with the Carbon Dioxide Surgical Laser: Clinical Experience and a Proposed Subclassification

Otolaryngology ◽

10.1177/019459988609500502 ◽

1986 ◽

Vol 95 (5) ◽

pp. 531-537 ◽

Cited By ~ 66

Author(s):

James A. Koufman

Keyword(s):

Vocal Cord ◽

Anterior Commissure ◽

Squamous Carcinoma ◽

Invasive Disease ◽

Endoscopic Management ◽

Vocal Process ◽

Small Series ◽

Endoscopic Laser ◽

Excellent Method ◽

Laser Excision

Sixteen patients with T1 vocal cord squamous cell carcinoma were treated with endoscopic laser excision during a 4-year period. Laser excision was the initial treatment in 11 patients, and it was used to treat 5 patients who had recurrence after radiotherapy. Postoperatively, 13 (81%) of the 16 patients had normal voices. Two patients with persistent postoperative hoarseness had had anterior commissure lesions and previous radiotherapy; the other patient had a subtotal cordectomy. One patient developed a subsequent new lesion 27 months after the initial laser treatment; he was successfully managed with a second endoscopic laser excision. Involvement of the anterior commissure or involvement of the vocal process with minimally invasive disease proved not to be a contraindication to laser excision. The overall results in this small series suggest that laser excision of T1 vocal cord carcinoma is an excellent method of treatment.

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Airway-Obstructing Epiglottic Cyst

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948509400512 ◽

1985 ◽

Vol 94 (5) ◽

pp. 473-476 ◽

Cited By ~ 35

Author(s):

Lorre T. Henderson ◽

James C. Denneny ◽

John Teichgraeber

Keyword(s):

Airway Obstruction ◽

Vocal Cord ◽

Cystic Mass ◽

Benign Lesions ◽

Laser Excision ◽

False Vocal ◽

Mild Dysphagia ◽

Progressive Dysphagia ◽

Emergency Tracheotomy

Laryngeal cysts, particularly epiglottic cysts, are generally benign lesions which cause mild dysphagia or hoarseness. We report a case of an epiglottic cyst that caused almost complete airway obstruction. A 43-year-old man presented with progressive dysphagia, hoarseness, and airway obstruction secondary to a large cystic mass involving the entire epiglottis and filling the hypopharynx. He required emergency tracheotomy to secure the airway, and the cyst was incised and drained. Following a subsequent recurrence, laser excision of the cyst was performed and the problem resolved. The cystic mass was found to fill the valleculae, and involved the lingual and laryngeal surfaces of the epiglottis and the left false vocal cord. A review of laryngeal cysts is presented with emphasis on anatomic and embryologic considerations. The potential lethal nature of these lesions is emphasized.

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Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses

Case Reports in Anesthesiology ◽

10.1155/2015/875053 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Benjamin B. Bruins ◽

Natasha Mirza ◽

Ernest Gomez ◽

Joshua H. Atkins

Keyword(s):

Endotracheal Tube ◽

Vocal Cord ◽

Vocal Fold ◽

Obese Woman ◽

Anesthetic Management ◽

Ball Valve ◽

History Of ◽

Laser Excision ◽

Valve Lesion

A 47-year-old obese woman with GERD and COPD presents for CO2-laser excision of bilateral vocal fold masses. She had a history of progressive hoarseness and difficulty in breathing. Nasopharyngeal laryngoscopy revealed large, mobile, bilateral vocal cord polyps that demonstrated dynamic occlusion of the glottis. We describe the airway and anesthetic management of this patient with a topicalized C-MAC video laryngoscopic intubation using a 4.5 mm Xomed Laser Shield II endotracheal tube. We examine the challenges of anesthetic management unique to the combined circumstances of a ball-valve lesion and the need for a narrow-bore laser compatible endotracheal tube.

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