Adenoid Surgery with Tube Insertion
Microlaryngeal Surgery is performed for diseases in the pharynx and larynx.
INDICATIONS FOR MLS
- 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
General Anaesthesia, usually with specially designed endotracheal tubes which are narrower in diameter so as not to obstruct the lesion on the vocal cords.
- Rigid Laryngoscope
- Operating Microscope with 400mm lens
- Suspension system
- Injection needles
- Forceps, Scissors, Dissectors, knife etc
- Laser – where required
- Biplolar cautery- where required
- 0, 30 and 70 degree rigid scopes along with camera console/ tower.
- 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
- 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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