Transoral Partial Supraglottic Resection Using The CO2 Laser

• DOI: 10.1002/lary.1983.93.4.429
• Publication Date: 2017-02-27T12:25:55Z
• Authors: R. Kim Davis; Stanley M. Shapshay; M.Stuart Strong; VINCENT J. HYMS
• Keywords: Epiglottis; Tracheotomy

Transoral epiglottis resection or partial supraglottic was done with the CO2 laser in 20 highly selected patients. Visualization best accomplished using Lynch suspension system, but satisfactory Jako-Pilling laryngoscope. The indications for this procedure were: 1. visualization of true vocal cords previously treated cancer patients whose obstructed indirect mirror examination, 2. removal obstructing benign epiglottic lesions, 3. as an excisional biopsy limited cancer, especially suprahyoid epiglottis. No major complications operative morbidity occurred. This approach obviated potential external surgical procedures In a select group Shortened hospitalization, avoidance tracheotomy, minimal postoperative discomfort and edema, excellent wound healing were additional advantages seen.