gms | German Medical Science

Approach which will be presented here is routine in our Clinic already during 10 years. Distant mode of laser application is the most popular technique in modern laryngological practice. In our Clinic contact mode of laser application becomes the routine method in different types of laryngeal pathology, among them benign lesions. For pre and post-operative examination of our phonosurgical patients we use routinely several methods: indirect laryngoscopy, fibrolaryngoscopy, videofibrolaryngoscopy with different modifications and functional tests (for example: measurement of rimma glottidis), the voice computer analisis, and in cases of stenosis suspicion - spirometry.In most cases we perform the surgical interventions under the conditions of direct laryngoscopy with general anesthesia with high frequency jet ventilation via tracheopuncture. Four hundred four patients were operated in our Clinic during last 5 years. Lesions were presented by: polyps –42,07%, papillomas –16,33%, Reinke edema –7,92%, granulomas –5,44%, cysts –15,84%, varix –1,98%, nodules –2,97%, leukoplakia –8,41%. To prevent scarification of rimma glottidis in patients with laryngeal papillomatosis we apply Laser Interstitial Thermo Therapy (LITT) technique. During experimental researches we traced morphologically that basal membrane of mucosa was not altered. Results of the laser surgical treatment of other benign vocal fold lesions also are discussing in the presentation.