Videoendoscopic surgery for inaccessible glottic lesions

Antonio Schindler, Pasquale Capaccio, Francesco Ottaviani

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: Lesions in the anterior segment of the vocal fold are sometimes difficult to access by means of conventional suspension microlaryngoscopy under general anaesthesia because of anatomical factors such as short, stout and inflexible necks, reduced jaw protrusion, and long incisors. Various techniques have recently been proposed for the management of inaccessible glottic lesions, most of which are performed under general anaesthesia. The use of flexible videoendoscopic surgery under topical anaesthesia in two cases of anterior glottic lesions that could not be treated by means of conventional suspension laryngoscopy is described. Study design: Case report. Methods: A flexible videobronchoscope with an instrument channel was inserted transnasally on an out-patient basis. While the examiner carried out the endoscopy, an assistant manoeuvred the biopsy forceps through the instrument channel, and removed the lesion. Results: Both patients underwent successful removal of an anterior glottic polyp, and the one-year follow-up evaluation revealed normal anatomy of the vocal folds and normal vocal function. Conclusions: Flexible videoendoscopic surgery under topical anaesthesia is a safe, simple and minimally invasive procedure that can be considered as an alternative to traditional endoscopic surgery for inaccessible anterior glottic lesions.

Original languageEnglish
Pages (from-to)899-902
Number of pages4
JournalJournal of Laryngology and Otology
Volume119
Issue number11
DOIs
Publication statusPublished - Nov 2005

Fingerprint

Tongue
Vocal Cords
General Anesthesia
Suspensions
Anesthesia
Overbite
Laryngoscopy
Polyps
Jaw
Surgical Instruments
Endoscopy
Anatomy
Outpatients
Neck
Biopsy

Keywords

  • Endoscopy
  • Larynx
  • Out-patients
  • Surgery
  • Vocal Cords

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Videoendoscopic surgery for inaccessible glottic lesions. / Schindler, Antonio; Capaccio, Pasquale; Ottaviani, Francesco.

In: Journal of Laryngology and Otology, Vol. 119, No. 11, 11.2005, p. 899-902.

Research output: Contribution to journalArticle

Schindler, Antonio ; Capaccio, Pasquale ; Ottaviani, Francesco. / Videoendoscopic surgery for inaccessible glottic lesions. In: Journal of Laryngology and Otology. 2005 ; Vol. 119, No. 11. pp. 899-902.
@article{7caa35e9b3e44517b253876914b714ac,
title = "Videoendoscopic surgery for inaccessible glottic lesions",
abstract = "Objectives: Lesions in the anterior segment of the vocal fold are sometimes difficult to access by means of conventional suspension microlaryngoscopy under general anaesthesia because of anatomical factors such as short, stout and inflexible necks, reduced jaw protrusion, and long incisors. Various techniques have recently been proposed for the management of inaccessible glottic lesions, most of which are performed under general anaesthesia. The use of flexible videoendoscopic surgery under topical anaesthesia in two cases of anterior glottic lesions that could not be treated by means of conventional suspension laryngoscopy is described. Study design: Case report. Methods: A flexible videobronchoscope with an instrument channel was inserted transnasally on an out-patient basis. While the examiner carried out the endoscopy, an assistant manoeuvred the biopsy forceps through the instrument channel, and removed the lesion. Results: Both patients underwent successful removal of an anterior glottic polyp, and the one-year follow-up evaluation revealed normal anatomy of the vocal folds and normal vocal function. Conclusions: Flexible videoendoscopic surgery under topical anaesthesia is a safe, simple and minimally invasive procedure that can be considered as an alternative to traditional endoscopic surgery for inaccessible anterior glottic lesions.",
keywords = "Endoscopy, Larynx, Out-patients, Surgery, Vocal Cords",
author = "Antonio Schindler and Pasquale Capaccio and Francesco Ottaviani",
year = "2005",
month = "11",
doi = "10.1258/002221505774783520",
language = "English",
volume = "119",
pages = "899--902",
journal = "Journal of Laryngology and Otology",
issn = "0022-2151",
publisher = "Cambridge University Press",
number = "11",

}

TY - JOUR

T1 - Videoendoscopic surgery for inaccessible glottic lesions

AU - Schindler, Antonio

AU - Capaccio, Pasquale

AU - Ottaviani, Francesco

PY - 2005/11

Y1 - 2005/11

N2 - Objectives: Lesions in the anterior segment of the vocal fold are sometimes difficult to access by means of conventional suspension microlaryngoscopy under general anaesthesia because of anatomical factors such as short, stout and inflexible necks, reduced jaw protrusion, and long incisors. Various techniques have recently been proposed for the management of inaccessible glottic lesions, most of which are performed under general anaesthesia. The use of flexible videoendoscopic surgery under topical anaesthesia in two cases of anterior glottic lesions that could not be treated by means of conventional suspension laryngoscopy is described. Study design: Case report. Methods: A flexible videobronchoscope with an instrument channel was inserted transnasally on an out-patient basis. While the examiner carried out the endoscopy, an assistant manoeuvred the biopsy forceps through the instrument channel, and removed the lesion. Results: Both patients underwent successful removal of an anterior glottic polyp, and the one-year follow-up evaluation revealed normal anatomy of the vocal folds and normal vocal function. Conclusions: Flexible videoendoscopic surgery under topical anaesthesia is a safe, simple and minimally invasive procedure that can be considered as an alternative to traditional endoscopic surgery for inaccessible anterior glottic lesions.

AB - Objectives: Lesions in the anterior segment of the vocal fold are sometimes difficult to access by means of conventional suspension microlaryngoscopy under general anaesthesia because of anatomical factors such as short, stout and inflexible necks, reduced jaw protrusion, and long incisors. Various techniques have recently been proposed for the management of inaccessible glottic lesions, most of which are performed under general anaesthesia. The use of flexible videoendoscopic surgery under topical anaesthesia in two cases of anterior glottic lesions that could not be treated by means of conventional suspension laryngoscopy is described. Study design: Case report. Methods: A flexible videobronchoscope with an instrument channel was inserted transnasally on an out-patient basis. While the examiner carried out the endoscopy, an assistant manoeuvred the biopsy forceps through the instrument channel, and removed the lesion. Results: Both patients underwent successful removal of an anterior glottic polyp, and the one-year follow-up evaluation revealed normal anatomy of the vocal folds and normal vocal function. Conclusions: Flexible videoendoscopic surgery under topical anaesthesia is a safe, simple and minimally invasive procedure that can be considered as an alternative to traditional endoscopic surgery for inaccessible anterior glottic lesions.

KW - Endoscopy

KW - Larynx

KW - Out-patients

KW - Surgery

KW - Vocal Cords

UR - http://www.scopus.com/inward/record.url?scp=28044471167&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28044471167&partnerID=8YFLogxK

U2 - 10.1258/002221505774783520

DO - 10.1258/002221505774783520

M3 - Article

VL - 119

SP - 899

EP - 902

JO - Journal of Laryngology and Otology

JF - Journal of Laryngology and Otology

SN - 0022-2151

IS - 11

ER -