MDL - Carcinoma

• • • • Functional comparison, according to 2005: Surgical procedures for voice restoration

• • Indicated for T1a SCC

    • Must be able see the entire lesion

  • Know the European classification of cordectomy

  • 2000: Endoscopic cordectomy. A proposal for a classification by the Working Committee, European Laryngological Society

Preparation

• • For the basic preparation, see the Micro-Direct Laryngoscopy - basic page

  • Tongue blade

  • 27 gauge needles

  • May need 70 degree endoscope

  • CO2 laser, 4 watts, ultra-pulse 

Procedure

• • Remove the lesion using the CO2 laser

  • Keep the specimen oriented during and upon excision

    • Once excised, orient on the table using the tongue blade and needle 

  • Photograph before and after excision 

Post-op

• • No voice rest indicated according to Rosen text 

  • For Dr. Durr, use the the University of Texas Voice Rest protocol here

    • See the smartphrase by J Gilde: JEGPIVOICERESTPO

High-Yield

Links

• eMedicine - Vocal Cord Cordectomy