Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 18-21, March 2003

Submucosal dissection technique for the management of malignant and premalignant lesions of the vocal folds

  • Natasha Mirza, MD, FACS

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Natasha Mirza, MD, FACS, Department of Otorhinolaryngology/, Head and Neck Surgery, 5 Ravdin, 34th and Spruce Streets, Philadelphia, PA 19104.
  • ,
  • Joel R. Perloff, MD

Department of Otorhinolaryngology/Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

Abstract 

Most vocal pathologies can be correlated to a change in the nature of the tissue or abnormal functional use of the laryngeal tissues. When laryngeal tissues are diseased, treatment should be directed to remove diseased tissue while restoring healthy tissue to normal function. Surgical techniques designed to address endolaryngeal pathologies must function to extirpate diseased mucosa while concurrently minimizing trauma to the normal tissues. Using established principles of hydrodissection microscopic laryngoscopy, we describe a technique that facilitates precise excision while allowing healthy tissues to recover with minimal scarring.

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PII: S1043-1810(03)90036-4

Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 18-21, March 2003