The following pages cover microlaryngoscopic and office procedures for vocal cord lesions. For a complete overview of the microlaryngoscopy procedure — anesthesia, risks, recovery, and what to expect — see Surgical Microlaryngoscopy.
Most vocal cord lesions require microlaryngoscopy — operating under general anesthesia with a microscope for precision. Office-based procedures are available for selected cases, offering a lower-risk alternative with faster recovery.
Surgical Procedures
Microlaryngoscopy: Lesion Excision
Nodules, polyps, cysts · cold knife technique · preserving the cover layer · the cardinal rule of phonomicrosurgery
Microlaryngoscopy: Papilloma
Recurrent respiratory papillomatosis · office vs. OR · adjuvant therapies · blue laser technique
Microlaryngoscopy: Tumor
Early glottic carcinoma · nanomargin laser excision · voice preservation oncology · staging and outcomes
Office Procedures
Blue Laser Office Treatment
In-office laser for selected lesions · papilloma · no general anesthesia · awake procedure technique
Office Biopsy
Forceps or laser biopsy under topical anesthesia · when to do it · technique and limitations