Document Detail

Use of a microdebrider for subepithelial excision of benign vocal fold lesions.
MedLine Citation:
PMID:  21140639     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We present a series of patients who underwent excision of subepithelial lesions using a laryngeal microdebrider.
METHODS: A retrospective review was carried out of all patients who between June 2005 and April 2009 underwent microlaryngoscopy and excision of vocal fold lesions by the senior author using a microdebrider. The patients' demographics,past medical history, preoperative and postoperative videostroboscopy findings,and surgical pathology findings were reviewed.
RESULTS: Eight patients were identified. All were female and had a mean age of 44 years (range, 21 to 54 years). Four patients had a unilateral pseudocyst, 2 patients had bilateral pseudocysts, 1 patient had bilateral Reinke's edema, and 1 patient had unilateral Reinke's edema. Through an incision made just lateral to the lesion on the superior surface, a small microdebrider blade was inserted and run at 800 to 1,000 revolutions per minute in oscillation mode with low wall suction until the lesion was completely excised, and the overlying epithelium was left intact. Postoperative videostroboscopic examination of the larynx revealed an absence of lesions and near-complete glottal closure in all patients. Seven of the 8 patients reported an improvement in voice.
CONCLUSIONS: Microdebrider excision of subepithelial vocal fold lesions is feasible. The patients with Reinke's edema had slightly more residual edema, a decreased epithelial wave, and less improvement in voice as compared to the patients with pseudocysts. Meticulous technique, low oscillation speeds, and low wall suction are necessary to avoid injury to the overlying epithelium.
Alex Y Cheng; Ahmed M S Soliman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  119     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-12-09     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  782-5     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
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MeSH Terms
Debridement / instrumentation*
Equipment Design
Laryngeal Diseases / surgery*
Middle Aged
Retrospective Studies
Vocal Cords*
Young Adult

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