A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method

BACKGROUND: Telescopic-assisted Microlaryngeal surgery (MLS), also known as video laryngoscopic surgery, is increasingly becoming popular because of the ease of the technicalities. Magnification and the improved delicacy of instrumentation help us in differentiating the extent of the lesion and perf...

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Main Authors: K S Gangadhara, S Ramesh, Gayatri Jayan, Shubham Malawadi, Jerin Alex
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:BLDE University Journal of Health Sciences
Subjects:
Online Access:http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2023;volume=8;issue=2;spage=272;epage=276;aulast=Gangadhara
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author K S Gangadhara
S Ramesh
Gayatri Jayan
Shubham Malawadi
Jerin Alex
author_facet K S Gangadhara
S Ramesh
Gayatri Jayan
Shubham Malawadi
Jerin Alex
author_sort K S Gangadhara
collection DOAJ
description BACKGROUND: Telescopic-assisted Microlaryngeal surgery (MLS), also known as video laryngoscopic surgery, is increasingly becoming popular because of the ease of the technicalities. Magnification and the improved delicacy of instrumentation help us in differentiating the extent of the lesion and performing a precise cutting out. MATERIALS AND METHODS: Forty-seven patients presented to our tertiary health center and underwent MLS by the telescopic method are taken into consideration for the present study. RESULTS: Among 47 patients who underwent surgery by telescopic method, males were predominant, and majority were in the 51–60 years of age group. A total of 19 were benign, 8 were premalignant, and 20 were malignant. Majority of the cases involved the middle third of the vocal cord and only two cases involved the posterior third of the vocal cord. All benign lesions were subjected to speech therapy, and malignant lesions were immediately sent for radiotherapy and no recurrence was noted on regular follow-up. DISCUSSION: It is easy to expose the larynx and we have never faced any difficulty in exposure of the vocal cord lesion. Delineation of the tissue in terms of morphology, site of lesion, and vascularity was very precise. Instrumentation was unimpeded, and documentation was easy. CONCLUSIONS: We conclude that the telescopic-assisted MLS is the better modality to deal with the lesions of vocal cords.
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spelling doaj.art-2f619982b8fa43589fac3d6933c0621c2024-04-27T04:18:00ZengWolters Kluwer Medknow PublicationsBLDE University Journal of Health Sciences2468-838X2456-19752023-01-018227227610.4103/bjhs.bjhs_31_23A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic methodK S GangadharaS RameshGayatri JayanShubham MalawadiJerin AlexBACKGROUND: Telescopic-assisted Microlaryngeal surgery (MLS), also known as video laryngoscopic surgery, is increasingly becoming popular because of the ease of the technicalities. Magnification and the improved delicacy of instrumentation help us in differentiating the extent of the lesion and performing a precise cutting out. MATERIALS AND METHODS: Forty-seven patients presented to our tertiary health center and underwent MLS by the telescopic method are taken into consideration for the present study. RESULTS: Among 47 patients who underwent surgery by telescopic method, males were predominant, and majority were in the 51–60 years of age group. A total of 19 were benign, 8 were premalignant, and 20 were malignant. Majority of the cases involved the middle third of the vocal cord and only two cases involved the posterior third of the vocal cord. All benign lesions were subjected to speech therapy, and malignant lesions were immediately sent for radiotherapy and no recurrence was noted on regular follow-up. DISCUSSION: It is easy to expose the larynx and we have never faced any difficulty in exposure of the vocal cord lesion. Delineation of the tissue in terms of morphology, site of lesion, and vascularity was very precise. Instrumentation was unimpeded, and documentation was easy. CONCLUSIONS: We conclude that the telescopic-assisted MLS is the better modality to deal with the lesions of vocal cords.http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2023;volume=8;issue=2;spage=272;epage=276;aulast=Gangadharadocumentationhumanslaryngeal diseaseslaryngoscopyspeech therapyvocal cords
spellingShingle K S Gangadhara
S Ramesh
Gayatri Jayan
Shubham Malawadi
Jerin Alex
A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
BLDE University Journal of Health Sciences
documentation
humans
laryngeal diseases
laryngoscopy
speech therapy
vocal cords
title A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
title_full A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
title_fullStr A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
title_full_unstemmed A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
title_short A brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
title_sort brief profile of laryngeal lesions undergoing microlaryngeal surgery by telescopic method
topic documentation
humans
laryngeal diseases
laryngoscopy
speech therapy
vocal cords
url http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2023;volume=8;issue=2;spage=272;epage=276;aulast=Gangadhara
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