Figure 12: Partial arytaenoidectomy and posterior chordectomy with intralaryngeal sutures. (b) The arytaenoid cartilage portion extending into the lumen is resected by laser, and the incision is continued through the elastic cone laterally up to the cricoid cartilage. (c) The posterior portion of the membranous vocal fold is opened by a triangle shaped incision, and the underlying part of the vocalis muscle is excised. (d) The caudal pedicle flap from the posterior portion of the vocal fold is sutured laterally to the ventricular fold. This provides optimal conditions for wound healing (e), encountering little fibrin and granulation formation in the postoperative course. If adduction is still possible, the anterior portion serves for phonation [134]