Atlas of Phonomicrosurgery and Other Endolaryngeal Procedures for Benign and Malignant Disease
This atlas of endolaryngeal surgery will serve as an enduring compilation of magnified images of laryngeal pathology. The microlaryngeal photography contained in this book was obtained from a sidearm of the microscope, simuating the surgeon's proximal view during the procudres. This technique allows pictures to be taken at various magnifications and from different perspectives, as surgeons often prefer to work at different powers. The text is designed to serve as a pictorial reference of clinical pathologies and their surgical management, with duplication of the types of lesions intended to demonstrate subtle clinical variations that affect surgical decisions. The main focus of the text is phonomicrosurgery, the most common reason to perform endolaryngeal surgery and one of the most dynamically evolving subspecialties with an exciting future as molecular laryngology develops and methods to reconstitute the layered microstructure of the vocal folds evolve. Many of the cases are displayed to exhibit the interface between the deep surface of lesion and the underlying vocal-fold tissue, which facilitates understanding of how pathology arises within the layered microstructure.
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PhonomicrosurgicaI Management PhiIosophy IncIuding
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airway anesthesia aryepiglottic fold arytenoid basement membrane bilateral bivalved cancer carcinoma caudal CO2 laser cold instruments commissure contoured Courtesy of Endocraft curved dissector cyst direct laryngoscopy disease dissection ectasias Endocraft LLC endolaryngeal surgery endoscopic endotracheal endotracheal tube epiglottis epithelial cordotomy epithelial edges epithelial microflap epithelium examining tube excised facilitates fibrovascular Figure forceps glottal aperture glottis glottiscope granuloma hand instrumentation head and neck higher magnification incision keratosis keratotic Killian laryngology laryngoscope left vocal fold lesion lesion is retracted margin maximal preservation medial surface microflap is retracted microscissors microscope microspot microvasculature mucosal wave musculo-membranous vocal fold nodule normal SLP normal superficial lamina noted pathology patient phonomicrosurgical polyp postoperative procedure resection revealed right vocal fold seen spatula stroboscopy subepithelial infusion subepithelial resection sulcus deformity superficial lamina propria superior surface supraglottic surgeon synechia technique tion tissue trauma underlying upturned scissors utilized varices varix vascular vestibular fold visualization vocal ligament voice Zeitels SM