Best Microlaryngeal Surgery (MLS) in Delhi
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Adenoid Surgery with Tube Insertion
Microlaryngeal Surgery
What is Mastoidectomy?
- For removal of swellings/ lesions in Oropharynx, Hypopharynx and Larynx
- For taking a Biopsy from a suspicious swelling
- For procedures on the Vocal cords
- For correction of subglottic stenosis
Anaesthesia
General Anaesthesia, usually with specially designed endotracheal tubes which are narrower in diameter so as not to obstruct the lesion on the vocal cords.
Instrumentation/ Equipment
- Rigid Laryngoscope
- Operating Microscope with 400mm lens
- Suspension system
- Injection needles
- Forceps, Scissors, Dissectors, knife etc
- Laser – where required
- Biplolar cautery- where required
- Coblation
- Microdebrider
- 0, 30 and 70 degree rigid scopes along with camera console/ tower.
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Our Team
Meet Our Specialist
ENT Consultation, Surgeries & Treatment
Dr. (Major) Rajesh Bhardwaj
MBBS (AFMC), MS, DNB, DLO, DHA
Technique
- A Rigid laryngoscope is taken and introduced into the mouth of the patient over mouth guard
- The lesion/ vocal cords are clearly visualized and the scope fixed using a suspension system, usually on the chest of the patient.
- The Operating Microscope is adjusted
- The lesion is examined in detail and pledgets with Xylocaine and adrenaline placed on the lesion and below it
- Using microdissection technique the lesion is removed using forceps and scissors
- Haemostasis -control of bleeding) is done using a Laser or Bipolar diathermy.
- The removed sample is sent for histopathology
Complications Of Microlaryngeal Surgery
- Bleeding
- Change in voice
- Damage to Lips, Teeth
- Incomplete removal of lesion on account of anatomical or other considerations.
Post Operative Care After Mls
- Voice rest/ No Phonation for 3-5 days
- Pain relief
- Oral steroids – sometimes- to reduce oedema and inflammation.
- Antacid/ Anti reflux medication.
Microlaryngeal is a commonly performed surgical procedure with generally very satisfactory results in experienced hands.
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MedFirst ENT Centre
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Why choose MedFirst for the Best Microlaryngeal Surgery in Delhi?
MedFirst ENT Centre located at Vasant Vihar, New Delhi, led by Dr. (Major) Rajesh Bhardwaj, a top ENT specialist, offers modern equipment and comfortable, clean environment.
The same experienced doctor can be seen at every visit. Unlike large hospitals, MedFirst ENT center ensures that patients have minimal waiting time.
The staff is friendly, the location is easy to find, and the clinic is kept spotless with thorough sanitization. MedFirst ensures you get the best care with convenience.
With convenient timings from Monday to Saturday and flexible morning and evening sessions, including extended hours on Thursdays, our clinic is committed to providing excellent care to you.
What is Microlaryngeal Surgery?
A Microlaryngeal surgery, also known as micro laryngoscopy is a procedure wherein the doctor visualizes the vocal folds or voice box and operates on them using a dissection instrument. There are no incisions made and the procedure is done using a laryngeal scope-an instrument inserted through the mouth.
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Microlaryngeal Surgery Procedure
The procedure occurs in the out-patients department and therefore is a one-day surgery.
- The patient is given general anaesthesia for his/her comfort and made to fall asleep for the procedure.
- The procedure involves two instruments-operative microscope and Microlaryngeal dissection instrument known as laryngoscope.
- The surgeon inserts the laryngoscope through the nose to the throat to look of the damage,
- Once the damage gets visualized, the doctor removes it using the surgical tools that have been threaded through the laryngoscope.
- Since the process focuses only on the affected area, the neighbouring tissues remain unharmed.
Who Should opt for a Microlaryngeal Surgery?
People who have the below problems are advised to opt for a Microlaryngeal surgery,
- Presence of any cysts, polyps or nodules which come under non-cancerous vocal fold lesions.
- If a person is suffering from vocal fold paralysis the person can undergo this procedure.
- Any symptoms of laryngeal cancer are seen, the doctor may recommend a Microlaryngeal surgery.
- Reinke’s edema, a condition where the vocal cords become swollen due to fluid retention may ask for the procedure.
- Apart from this, if any person is suffering from conditions such as Dysphagia, Dysphonia, Laryngeal trauma or Stridor, they can opt for the surgery as well.
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Pre- and Post essentials of a Microlaryngeal Surgery
Before the Surgery
- The person is advised to avoid taking ibuprofen and aspirin since they hinder with the healing procedure and blood clotting.
- The patient is advised to prevent smoking for atleast two weeks prior to the surgery.
- Eight hours before the surgery, consumption of any food or drinks should be avoided.
- If the patient is on any medications before the surgery, the doctor should be informed about it.
After the Surgery
- The patient may experience a sore throat for a few days.
- A normal or regular diet can be consumed a day or two after the procedure.
- A complete vocal rest may be recommended from two to six weeks post-surgery.
- Avoid consumption of alcohol till the recovery.
- Smoking should be avoided for few weeks as it hinders with the healing procedures.
- Additional medications should not be consumed during the recovery period and if any medications are to be taken, the doctor should be consulted before.
- Spicy or hot food can be avoided for a day or two after the surgery.
- The person should avoid making any sounds using his/her voice to prevent complications during the vocal rest period.
Benefits of a Microlaryngeal Surgery
The procedure offers multiple advantages for the person undergoing the procedure which comprise of
- Preservation of the vocal function: A large group of population relays on its voice for their professional purposes. Having a Microlaryngeal surgery can help in preserving and enhancing the voice of such group.
- Solution to Cancerous conditions: People who are at the onset of laryngeal cancer or polyps or tumours can opt for this surgery and get treated for it.
- Reduced trauma to the tissue: As the purpose is a non-invasive one and targets only the specific area, the neighbouring tissues remain unharmed.
Cost of Microlaryngeal Surgery in Delhi
The total cost of a Microlaryngeal surgery depends upon different factors which are listed below,
- The choice of treatment city and hospitals.
- Hospitalization fees depend on the facility and duration of stay.
- The severity of the condition influences the treatment cost.
- The age and health condition of patient determine how complex the treatment should be.
- Post-surgical care and hospital visits add up-to expenses.
- If not performed correctly may lead to additional complications and hospital visits.
- Based on the expertise and experience of the surgeon, the fees change.
- Out-of-pocket expenses reduced using insurance coverage.
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