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    • Endolaryngeal Surgery

    Article Type

    • Research Article65
    • Discussion2
    • Review Article2
    • Case Reports1

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    Author

    • Remacle, Marc4
    • Sataloff, Robert Thayer4
    • Zeitels, Steven M4
    • Lawson, Georges3
    • Dailey, Seth H2
    • Gallivan, Gregory J2
    • Gould, Wilbur James2
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    • Bachy, Vincent1
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    • Journal of Voice70

    Keyword

    • Larynx12
    • Phonosurgery11
    • Dysphonia7
    • Vocal fold7
    • Laryngoscopy6
    • Microlaryngoscopy6
    • Voice5
    • Sulcus vocalis4
    • Surgery4
    • Diagnosis3
    • Endoscopy3
    • Hoarseness3
    • Laryngeal surgery3
    • Laryngology3
    • Phonomicrosurgery3
    • Bilateral vocal fold immobility2
    • CO2 laser2
    • Diode laser2
    • Early glottic cancer2
    • Endotracheal intubation2
    • Glottoplasty2
    • Jet ventilation2
    • KTP laser2
    • Laryngeal cancer2
    • Papilloma2

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    Journal of Voice Source Readings

    Endolaryngeal Surgery

    Adam D. Rubin, M.D.

    The development of endolaryngeal surgery has been paramount to the treatment of voice and other laryngeal disorders.  Endolaryngeal techniques enable the surgeon to operate bimanually under high-power magnification with use of the operating microscope.  The surgeon also has the capability to use an armamentarium of specialized instrumentation, including delicate microinstruments and lasers to treat the larynx transorally.  The development of a variety of laryngoscopes and techniques has facilitated successful exposure of the vocal folds even in the most challenging anatomical cases.  All in all, endolaryngeal surgery allows for precise surgical control to handle the delicate structure of the vocal folds and provide minimally invasive techniques to manage other laryngeal pathology.

    From its inception, the Journal of Voice has delivered numerous articles providing historical perspective on the development of endolaryngeal surgery, advances and innovations of surgical techniques, and objective evaluation of surgical results.  As one peruses the references listed, one will see a cornucopia of articles written by the world’s leading laryngologists, collaborating with eminent voice pathologists and scientists, emphasizing the collaborative nature of the field.  Although it is the Journal of Voice, the list is not limited to treatment relevant only to voice disorders. Rather, you will discover articles pertaining to other laryngeal disorders, particularly, airway and malignancy.

    The basic principles of microlaryngeal surgery have not changed significantly over the last thirty years.  One can enjoy early discussions of the surgical management of voice disorders from the likes of Sataloff, Gould, Hirano, Vaughan, and others as far back as journals from the late eighties and recognize the foundation of our specialty.  Articles pertaining to the refinement of techniques, new applications, the recognition of limitations in our approaches, and the advances in technology can all be found in the list below. Much of what we now accept as rote was at one point novel.  Hopefully, review of these references will stimulate creative minds to continue to advance our field.

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    • Research Article

      Anterior Glottic Web Formation for Voice Feminization: Experience of 27 Patients

      Journal of Voice
      Vol. 31Issue 6p757–762Published online: March 31, 2017
      • Taner Yılmaz
      • Oğuz Kuşçu
      • Tevfik Sözen
      • Ahmet Emre Süslü
      Cited in Scopus: 11
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      Voice feminization is needed for male-to-female transsexuals, males with testicular feminization, and females with constitutional androphonia. Anterior glottic web formation affords advantages: endoscopic surgery without skin incision and scar, outpatient surgery, potential reversibility, and low risk for vocal fold and airway damage.
      Anterior Glottic Web Formation for Voice Feminization: Experience of 27 Patients
    • Research Article

      Improved Glottic Exposure for Robotic Microlaryngeal Surgery: A Case Series

      Journal of Voice
      Vol. 31Issue 5p628–633Published online: March 18, 2017
      • Dehra A. McGuire
      • Jennifer P. Rodney
      • Nilesh R. Vasan
      Cited in Scopus: 1
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        Robotic surgery has become the standard of care for many procedures outside of otolaryngology and now is gaining momentum within our specialty. The da Vinci (Intuitive Surgical, Sunnyvale, CA) robot has several advantages to human hands, including removal of tremor and better access to lesions because of increased degree of movement of the articulated instruments. The glottis has rarely been addressed using robotic surgery because access was previously thought to be difficult because of the limitations of currently used retractors, which include poor base of tongue and oral commissure retraction resulting in lack of exposure of the glottis in many patients and lack of space for the robotic instruments to occupy.
        Improved Glottic Exposure for Robotic Microlaryngeal Surgery: A Case Series
      • Research Article

        Transcricothyroid Endoscopic Subglottic Surgery for Posterior Glottic Stenosis: A Case Report

        Journal of Voice
        Vol. 31Issue 5p634–637Published online: March 18, 2017
        • Koji Matsushima
        • Kentaro Matsuura
        • Teppei Takeda
        • Yuko Sasaki
        • Akira Fukuo
        • Kota Wada
        • and others
        Cited in Scopus: 1
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          Posterior glottic stenosis (PGS) is a rare but life-threatening condition mostly caused by damage to the interarytenoid mucosa by an endotracheal tube. In surgical treatment of PGS, airway patency is prioritized, and the laryngeal functions involved in swallowing and phonation are considerably sacrificed. In the majority of cases, lateralization of a vocal fold or partial excision of a vocal fold and arytenoid cartilage results in glottal closure insufficiency and deterioration of phonatory function.
          Transcricothyroid Endoscopic Subglottic Surgery for Posterior Glottic Stenosis: A Case Report
        • Research Article

          Amplitude of Glottal Mucosal Wave After Vocal Fold Microflap With or Without Fibrin Glue

          Journal of Voice
          Vol. 31Issue 3p342–346Published online: August 11, 2016
          • Ramón González-Herranz
          • Elizabeth Amarillo
          • Estefanía Hernández-García
          • José Montojo Woodeson
          • Guillermo Plaza-Mayor
          Cited in Scopus: 7
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            The vocal fold microflap technique is the ideal to remove benign vocal fold pathology. Our objective is to compare the amplitudes of the mucosal wave before and after the closure of microflap defect with fibrin glue, and when microflap is left to heal by secondary intention.
            Amplitude of Glottal Mucosal Wave After Vocal Fold Microflap With or Without Fibrin Glue
          • Research Article

            A Case Report: Hybrid Treatment Approach to Lipoid Proteinosis of the Larynx

            Journal of Voice
            Vol. 31Issue 1p128.e15–128.e19Published online: April 1, 2016
            • Zhen Chen
            • William Calawerts
            • Yi Zhang
            • Jack Jiang
            • Wen Xu
            Cited in Scopus: 3
            Online Extra
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              Previous research on treatment of lipoid proteinosis has focused on genetic etiology and clinical diagnosis of this rare laryngeal disorder. However, few studies on this disorder have examined treatment methods directed at improving voice qualities. The purpose of this study was to examine a novel hybrid treatment approach and its improvements in the patient's voice quality.
              A Case Report: Hybrid Treatment Approach to Lipoid Proteinosis of the Larynx
            • Research Article

              Microtrapdoor Flap Technique for Treatment of Glottic Laryngeal Stenosis: Experience With 34 Cases

              Journal of Voice
              Vol. 30Issue 6p751–754Published online: August 28, 2015
              • Taner Yılmaz
              • Nilda Süslü
              • Rıza Önder Günaydın
              • Oğuz Kuşçu
              • Tevfik Sözen
              • Gamze Atay
              • and others
              Cited in Scopus: 3
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                Laryngeal stenosis is the most challenging disorder for the laryngologist to treat. Microtrapdoor flap technique was described in 1980s; however, it has not been popular since then. The reason may be the difficulty of the technique. In this study, we will report our experience with microtrapdoor flap technique to treat glottic stenosis of 34 patients.
                Microtrapdoor Flap Technique for Treatment of Glottic Laryngeal Stenosis: Experience With 34 Cases
              • Research Article

                Vocal Fold Vibratory Changes Following Surgical Intervention

                Journal of Voice
                Vol. 30Issue 2p224–227Published online: May 28, 2015
                • Wenli Chen
                • Peak Woo
                • Thomas Murry
                Cited in Scopus: 8
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                  High-speed videoendoscopy (HSV) captures direct cycle-to-cycle visualization of vocal fold movement in real time. This ultrafast recording rate is capable of visualizing the vibratory motion of the vocal folds in severely disordered phonation and provides a direct method for examining vibratory changes after vocal fold surgery. The purpose of this study was to examine the vibratory motion before and after surgical intervention. HSV was captured from two subjects with identifiable midvocal fold benign lesions and six subjects with highly aperiodic vocal fold vibration before and after phonosurgery.
                  Vocal Fold Vibratory Changes Following Surgical Intervention
                • Research Article

                  Longitudinal Voice Outcomes Following Advanced CO2 Laser Cordectomy for Glottic Cancer

                  Journal of Voice
                  Vol. 29Issue 6p772–775Published online: March 19, 2015
                  • Abie H. Mendelsohn
                  • Nayla Matar
                  • Vincent Bachy
                  • Georges Lawson
                  • Marc Remacle
                  Cited in Scopus: 9
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                    CO2 laser cordectomy for glottic carcinoma offers excellent oncologic control on a per stage basis as compared with primary radiotherapy. We aim to further investigate the fluctuations of postoperative vocal outcomes following extended laser cordectomy for glottic cancer.
                    Longitudinal Voice Outcomes Following Advanced CO2 Laser Cordectomy for Glottic Cancer
                  • Research Article

                    The Comparison of Thyroarytenoid Muscle Myectomy and Type II Thyroplasty for Spasmodic Dysphonia

                    Journal of Voice
                    Vol. 29Issue 4p501–506Published online: February 28, 2015
                    • Masaki Nomoto
                    • Ryoji Tokashiki
                    • Hiroyuki Hiramatsu
                    • Ujimoto Konomi
                    • Rei Motohashi
                    • Eriko Sakurai
                    • and others
                    Cited in Scopus: 13
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                      Surgical treatments for adductor spasmodic dysphonia include bilateral thyroarytenoid muscle myectomy (TAM) and type II thyroplasty (TPII), both of which are commonly performed. The present study aimed to compare the effects of TAM and TPII.
                      The Comparison of Thyroarytenoid Muscle Myectomy and Type II Thyroplasty for Spasmodic Dysphonia
                    • Research Article

                      Voice Outcomes After Transoral Laser Microsurgery for Early Glottic Cancer—Considering Signal Type and Smoothed Cepstral Peak Prominence

                      Journal of Voice
                      Vol. 29Issue 3p370–381Published online: October 7, 2014
                      • Danielle Stone
                      • Patricia McCabe
                      • Carsten E. Palme
                      • Robert Heard
                      • Clare Eastwood
                      • Faruque Riffat
                      • and others
                      Cited in Scopus: 10
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                        This study proposed the use of signal typing and acoustic measures experimentally validated for aperiodic voices to investigate voice outcomes after transoral laser microsurgery (TLM) for early glottic carcinoma. It was of interest whether signal type and pitch-tracking indicators would reveal unreliable perturbation and noise measures. As an alternative, smoothed cepstral peak prominence (CPPS) was used for the first time in this population.
                        Voice Outcomes After Transoral Laser Microsurgery for Early Glottic Cancer—Considering Signal Type and Smoothed Cepstral Peak Prominence
                      • Research Article

                        Assessment of Voice Quality After Carbon Dioxide Laser and Microdebrider Surgery for Reinke Edema

                        Journal of Voice
                        Vol. 29Issue 2p256–259Published online: September 25, 2014
                        • Paweł Krzysztof Burduk
                        • Małgorzata Wierzchowska
                        • Monika Orzechowska
                        • Wojciech Kaźmierczak
                        • Katarzyna Pawlak-Osińska
                        Cited in Scopus: 12
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                          Surgery of Reinke edema requires reduction of the degenerated superficial lamina propria and preservation of the vibratory epithelium.
                        • Case Reports

                          Treatment of Inflammatory Myofibroblastic Tumor of the Subglottis With KTP Laser: A Case Report

                          Journal of Voice
                          Vol. 28Issue 6p841.e1–841.e4Published online: June 24, 2014
                          • Monica Q. Kieu
                          • Prasad J. Thottam
                          • Victor DaCosta
                          • Laura Gonzalez-Krellwitz
                          • Janet M. Poulik
                          • David N. Madgy
                          Cited in Scopus: 10
                          Online Extra
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                            Although inflammatory myofibroblastic tumors (IMTs) are seen in the lower respiratory tract in the pediatric population, few cases occurring in the larynx have been reported in the literature. Treatment of choice is complete surgical excision because of risk of recurrence. We describe a case of pediatric subglottic IMT presenting with progressive hoarseness and symptoms of persistent reactive airway treated with potassium titanyl phosphate laser. We also enumerate the number of pediatric cases of IMT that occur in the larynx and subglottis compared with those which occur in the upper respiratory tract, specifically the trachea and bronchi.
                            Treatment of Inflammatory Myofibroblastic Tumor of the Subglottis With KTP Laser: A Case Report
                          • Research Article

                            Pitch Elevation in Trangendered Patients: Anterior Glottic Web Formation Assisted by Temporary Injection Augmentation

                            Journal of Voice
                            Vol. 28Issue 6p816–821Published online: June 21, 2014
                            • Jennifer A. Anderson
                            Cited in Scopus: 30
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                              Pitch elevation surgery is most often indicated to assist male-to-female transgendered individuals seeking a more feminine voice quality. Behavioral therapy is primary management but if the desired voice quality is not achieved, surgery is offered. Procedures described that raise vocal pitch alter one or more of the main parameters known to physiologically control pitch; vocal fold tension, length, and mass.
                              Pitch Elevation in Trangendered Patients: Anterior Glottic Web Formation Assisted by Temporary Injection Augmentation
                            • Research Article

                              Management of Supraglottic Stenosis Using a Novel Stent Design

                              Journal of Voice
                              Vol. 28Issue 4p515–517Published online: April 11, 2014
                              • Jaime Eaglin Moore
                              • Joseph Capo
                              • Amanda Hu
                              • Robert T. Sataloff
                              Cited in Scopus: 5
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                                To present a novel design for a stent for management of a traumatic supraglottic web.
                                Management of Supraglottic Stenosis Using a Novel Stent Design
                              • Research Article

                                New Technique for Preparing Cartilage for Intracordal Injection: The Freezing and Grinding Method

                                Journal of Voice
                                Vol. 28Issue 4p508–511Published online: April 2, 2014
                                • Young Min Park
                                • Won Yong Lee
                                • Yun-Sung Lim
                                • Jin-Choon Lee
                                • Byung-Joo Lee
                                • Soo-Geun Wang
                                Cited in Scopus: 4
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                                  We developed a technique for preparing harvested cartilage that creates finer, more uniform pieces by freezing with liquid nitrogen and grinding with a mortar and pestle. Herein, we report the application of this new technique for intracordal cartilage injection.
                                  New Technique for Preparing Cartilage for Intracordal Injection: The Freezing and Grinding Method
                                • Research Article

                                  Chromoendoscopy Associated With Endoscopic Laryngeal Surgery: A New Technique for Treating Recurrent Respiratory Papillomatosis

                                  Journal of Voice
                                  Vol. 28Issue 6p822–829Published online: March 27, 2014
                                  • Daniel G. Rey Caro
                                  • Enrique P. Rey Caro
                                  • Enrique A. Rey Caro
                                  Cited in Scopus: 4
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                                    Chromoendoscopy is a dye enhancement technique that uses epithelial tissue dyeing for assessing any changes in it by determining its characteristics and eventually to improving mucosal lesions detection at endoscopy. Currently with the addition of a joint use of rigid endoscopes and video systems at surgery, visualization of the larynx and trachea areas significantly improved with wide angle viewing. However, in certain diseases, such as laryngeal papillomatosis, certain conditions were overlooked by these approaches and with the likelihood of postoperative early relapse.
                                    Chromoendoscopy Associated With Endoscopic Laryngeal Surgery: A New Technique for Treating Recurrent Respiratory Papillomatosis
                                  • Research Article

                                    Suture Lateralization in Patients With Bilateral Vocal Fold Paralysis

                                    Journal of Voice
                                    Vol. 28Issue 5p644–651Published online: March 14, 2014
                                    • Wan-Fu Su
                                    • Shao-Cheng Liu
                                    • Wei-Sheng Tang
                                    • Mei-Chen Yang
                                    • Yuan-Yung Lin
                                    • Tung-Tsun Huang
                                    Cited in Scopus: 15
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                                      To introduce a simplified suture lateralization (SL) technique to treat patients with bilateral vocal fold paralysis (BVFP).
                                      Suture Lateralization in Patients With Bilateral Vocal Fold Paralysis
                                    • Research Article

                                      Comparison of Effects on Voice of Diode Laser and Cold Knife Microlaryngology Techniques for Vocal Fold Polyps

                                      Journal of Voice
                                      Vol. 28Issue 3p387–392Published online: February 3, 2014
                                      • Mehmet Fatih Karasu
                                      • Ramazan Gundogdu
                                      • Sedat Cagli
                                      • Mesut Aydin
                                      • Turan Arli
                                      • Samet Aydemir
                                      • and others
                                      Cited in Scopus: 18
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                                        To compare the effects on voice of endolaryngeal microsurgery (EMS) with cold instruments and a new method, “diode laser,” for vocal fold polyps.
                                        Comparison of Effects on Voice of Diode Laser and Cold Knife Microlaryngology Techniques for Vocal Fold Polyps
                                      • Research Article

                                        Influence of Vortical Flow Structures on the Glottal Jet Location in the Supraglottal Region

                                        Journal of Voice
                                        Vol. 27Issue 5p531–544Published online: August 1, 2013
                                        • Stefan Kniesburges
                                        • Christina Hesselmann
                                        • Stefan Becker
                                        • Eberhard Schlücker
                                        • Michael Döllinger
                                        Cited in Scopus: 25
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                                        Within the fully coupled multiphysics phonation process, the fluid flow plays an important role for sound production. This study addresses phenomena in the flow downstream of synthetic self-oscillating vocal folds. An experimental setup consisting of devices for producing and conditioning the flow including the main test channel was applied. The supraglottal channel was designed to prevent an acoustic coupling to the vocal folds. Hence, the oscillations were aerodynamically driven. The cross-section of the supraglottal channel was systematically varied by increasing the distance between the lateral channel walls.
                                        Influence of Vortical Flow Structures on the Glottal Jet Location in the Supraglottal Region
                                      • Research Article

                                        Wendler Glottoplasty: An Effective Pitch Raising Surgery in Male-to-Female Transsexuals

                                        Journal of Voice
                                        Vol. 27Issue 4p516–522Published in issue: July, 2013
                                        • Nicholas S. Mastronikolis
                                        • Marc Remacle
                                        • Michela Biagini
                                        • Debora Kiagiadaki
                                        • George Lawson
                                        Cited in Scopus: 43
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                                          Evaluation of the voice results after Wendler glottoplasty in male-to-female transsexuals (MFTs).
                                          Wendler Glottoplasty: An Effective Pitch Raising Surgery in Male-to-Female Transsexuals
                                        • Research Article

                                          Laryngeal Lipotransfer: Review of a 14-Year Experience

                                          Journal of Voice
                                          Vol. 27Issue 4p512–515Published online: May 17, 2013
                                          • Rima A. DeFatta
                                          • Robert J. DeFatta
                                          • Robert Thayer Sataloff
                                          Cited in Scopus: 16
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                                            To determine the efficacy of lipotransfer for treatment of various vocal fold (VF) pathologies.
                                            Laryngeal Lipotransfer: Review of a 14-Year Experience
                                          • Research Article

                                            The Role of Diode Laser in the Treatment of Ventricular Dysphonia

                                            Journal of Voice
                                            Vol. 27Issue 2p250–254Published in issue: March, 2013
                                            • Shao-Cheng Liu
                                            • Deng-Shan Lin
                                            • Wan-Fu Su
                                            Cited in Scopus: 2
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                                              The treatment of ventricular dysphonia (VD) should be based on confirming the true folds pathology. In some patients, the ability of the true folds vibration remains unclear and decision making for performing aggressive surgical interventions can be difficult.
                                              The Role of Diode Laser in the Treatment of Ventricular Dysphonia
                                            • Review Article

                                              KTP 532 nm Laser for Laryngeal Lesions. A Systematic Review

                                              Journal of Voice
                                              Vol. 27Issue 2p245–249Published online: January 7, 2013
                                              • Xuanqian Xie
                                              • Jonathan Young
                                              • Karen Kost
                                              • Maurice McGregor
                                              Cited in Scopus: 24
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                                                To evaluate the effectiveness and safety of the 532 nm potassium titanyl phosphate (KTP) laser for vocal fold surgery.
                                              • Research Article

                                                Photoangiolytic Laser Treatment of Recurrent Respiratory Papillomatosis: A Scaled Assessment

                                                Journal of Voice
                                                Vol. 27Issue 1p124–128Published online: October 29, 2012
                                                • Mong-Loon Kuet
                                                • Michael J. Pitman
                                                Cited in Scopus: 15
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                                                  To investigate the effectiveness of unsedated office-based photoangiolytic laser surgery (UOLS) for treating recurrent respiratory papillomatosis (RRP) using the Derkay severity scale, Voice Handicap Index-10 (VHI-10), and Grade, Roughness, Breathiness, Asthenia, Strain (GRBAS) scale. Although previous studies examined the effect of UOLS on voice quality, few studies evaluated the effect on disease regression or used accepted and validated scales as outcome measures.
                                                  Photoangiolytic Laser Treatment of Recurrent Respiratory Papillomatosis: A Scaled Assessment
                                                • Research Article

                                                  Should Antiviral Medications Be Considered Preoperatively for Microlaryngoscopy in Patients With a History of Recurrent Herpes Stomatitis?

                                                  Journal of Voice
                                                  Vol. 27Issue 1p115–118Published online: July 16, 2012
                                                  • VyVy N. Young
                                                  • Priya Krishna
                                                  • Clark A. Rosen
                                                  Cited in Scopus: 2
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                                                    Infectious complications following phonomicrosurgery are rare. Reports of herpetic laryngitis are in the literature but none following microlaryngoscopy. We present a case of a 55-year-old female who underwent microsurgical excision of a left vocal fold (VF) lesion and KTP ablation of bilateral vascular ectasias. Postoperative stroboscopy demonstrated severe bilateral VF edema, erythema, and ulcerations of the VFs, encompassing an area greater than the original surgical field. Initial management included voice rest, antibiotics, steroids, and aggressive reflux treatment.
                                                    Should Antiviral Medications Be Considered Preoperatively for Microlaryngoscopy in Patients With a History of Recurrent Herpes Stomatitis?
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