Suspicious vocal cord lesions — including leukoplakia, dysplasia, and early or suspected carcinoma — require microlaryngoscopic biopsy or excision for pathologic diagnosis and definitive treatment. Examination under anesthesia with high-resolution stroboscopy and, when indicated, narrow-band imaging or contact endoscopy, gives the surgeon the clearest possible view of the lesion before and during surgery.
Depending on pathology, the procedure may range from an excisional biopsy to a formal cordectomy. The Nanomargin technique — developed at this practice — allows for precise resection of small suspicious lesions with very narrow surgical margins, reducing the likelihood of recurrence while preserving as much normal tissue as possible.
For general information about the microlaryngoscopy procedure, anesthesia, risks, and recovery, see the Surgical Microlaryngoscopy overview.