Office Based Laryngeal Surgery

This book provides a detailed description of laryngeal procedures performed under topical anesthesia in an office setting. The last two decades have witnessed a major evolution in laryngology practice toward office-based surgery, thus reducing the risk of general anesthesia and containing healthcare costs while also hastening recovery rates from the time of diagnosis. Beginning with a comprehensive review of the anatomy and physiology of phonation, the book then provides systematic assessment of patients with voice dysfunction secondary to structural and functional laryngeal disorders. It offers detailed instructions on patient selection, safety, tolerance, and proper administration of topical anesthesia. The book supplies detailed descriptions of the various surgical techniques commonly used in office-based laryngeal surgery using color illustrations, photographs and videos. Different surgical approaches are presented including transcervical, transnasal and per-oral techniques. The book also supplies a thorough review of the literature on the current status of the most commonly performed office-based laryngeal surgeries including patient care, surgical outcome, and complications. Office-Based Laryngeal Surgery will help laryngologists operating on awake patients in an office setting to be both well-equipped and well-informed.

This book reviews the emerging role of blue laser as a new treatment modality. Laser surgery has revolutionized the treatment of patients with voice disorders. The choice of laser is based primarily on the characteristics of the laser such as wavelength, mode of delivery and spot size, and on the type of pathology that is being treated. Recently, a new laser with hybrid characteristics, namely cutting and hemostatic, has been introduced as the new generation of photoangiolytic lasers. This new laser—the blue laser with a wavelength of 445 nm—is gaining popularity as an alternative to the traditional KTP laser. The book begins with a review of lasers in laryngology, which is followed by a discussion of anesthesia considerations in office-based and OR-based laryngeal surgery. Subsequent chapters detail the surgical steps needed to be able to perform office-based blue laser procedures safely, including the mode of application and the use of adjunctive surgical procedures. These chapters present colored illustrations of various cases of laryngeal pathology before and after treatment. Video-recordings of surgeries performed in-office and in the operating room using the blue laser are included. Finally, the authors cover rare applications of blue laser therapy in laryngology. This is an ideal guide for otolaryngologists and laryngologists, as well as speech-language pathologists, phoniatricians and other voice therapists and trainers.

Information on office-based procedures in laryngology provides Otolaryngologists and other surgeons information on Patient selection, Topicals and anesthesia, Surgical approaches and techniques, and Risks and complications. Each procedure discussed provides key points and technique summaries. Topics include: Anesthesia for office procedures including the role of monitoring, Stroboscopy and other diagnostic tools including high speed larygoscopy, Transnasal esophagoscopy including biopsy, dilation, Bravo, TEP, etc, FEES and FEESST, Office-based laryngeal injections, and Office based procedures that includes biopsy and laser therapy.

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Melissa A. Pynnonen and Cecelia E. Schmalbach, is devoted to Office-Based Surgery in Otolaryngology. Articles in this important issue include: Introduction to Office-Based Surgery in Otolaryngology; Office-based Cosmetic Procedures in Otolaryngology; Mohs Reconstruction and Scar Revision; Office-based Sinus Procedures; In-office Functional Nasal Surgery; Office-based Otology Procedures; In-office Eustachian Tuboplasty; In-office Laryngology Injectables; Office-based Management of Laryngeal Neoplasms; Ultrasound of the Thyroid and Neck; In-office Evaluation and Management of Dysphagia; Patient Safety and Regulatory Considerations; Instrument Sterilization in Otolaryngology; and Facility Accreditation and Coding for Otolaryngology Office Procedures.

Otolaryngologists are working harder than ever to reduce costs, increase efficiency, and lessen their reliance on hospital-based surgery. This book - with contributions from more than 60 leading experts -is the guide they need to keep up with this important trend. A comprehensive, one-source reference, the guide begins with detailed information on office set-up and management, reimbursement, credentialing, and legal issues. It then provides step-by-step, fully illustrated coverage of more than 50 different office-based procedures. Highlights include: Complete how-to instruction in the most important new procedures in otology, laryngology, rhinology, oral surgery, and head and neck surgery Detailed coverage of endoscopic and laser-based techniques Special section on office procedures in cosmetic and facial plastic surgery, including otoplasty, rhinoplasty, face lift, and hair transplantation Practical information on managing the office and handling credentialing, insurance, and reimbursement

Laryngeal Surgery is the first in the series “Surgical Techniques in Otolaryngology – Head & Neck Surgery.” Divided into five sections, the book begins with an introduction to the basic principles and procedures of laryngeal surgery. The following chapters discuss surgery for different disorders including benign structural lesions, premalignant and malignant lesions of the larynx, neurogenic voice disorders and laryngeal trauma. Written by an internationally recognised author and editor team from the USA, led by series editor Robert T Sataloff from Drexel University College of Medicine, Philadelphia, this reference features numerous highly illustrated clinical photographs, flow charts and tables. An interactive DVD ROM of intraoperative photographs and videos of surgical procedures is included to help illustrate the techniques described in the book. Forthcoming topics in the series include atlases of otologic and neurotological surgery, rhinologic and sinus surgery, facial plastic and reconstructive surgery, pediatric otolaryngologic surgery, and head and neck surgery. Key points First title in Surgical Techniques in Otolaryngology – Head & Neck Surgery series covering laryngeal surgery Includes interactive DVD ROM of intraoperative photographs and surgical techniques US author and editor team, led by Robert T Sataloff

This well-illustrated book provides step-by-step guidance on the various techniques – microlaryngoscopic, fiberoptic endoscopic and transcutaneous – that can be employed for the purpose of injection laryngoplasty, a surgical procedure in which a foreign material is injected into the vocal fold. The anatomy and function of the region are first explained, with identification of the causes and means of evaluation of glottic and neoglottic insufficiency. Advice is then provided on the choice of material for injection laryngoplasty, including absorbable and long-lasting options, on the basis of careful analysis that takes into account both the recent literature and the authors’ own experiences. Detailed descriptions of the surgical indications and different procedures follow and for ease of reference, clear flow charts on diagnosis and indications are also included. The book concludes with chapters on the use of injection laryngoplasty specifically in the pediatric population and on postoperative care and speech therapy following the procedure. Injection Laryngoplasty will provide valuable assistance to all surgeons wishing to perform this kind of surgery.

This book is a concise guide to laryngology for clinicians. Beginning with an overview of clinical anatomy, voice assessment and imaging, the following sections cover a range of topics, from swallowing, paediatric laryngology, singers, and the aging voice, to more complex disorders and laryngotracheal reconstruction. The text discusses the latest techniques for laryngeal documentation, key principles in the management of laryngeal disorders, outcome measures, quality of life assessment, and evolving technologies. The book is enhanced by high quality clinical photographs and illustrations. Key points Concise guide to laryngology for clinicians Covers range of topics, from basic anatomy and physiology, to complex disorders and management Includes discussion on techniques for documentation and evolving technologies Highly illustrated with clinical photographs and diagrams

This comprehensive volume covers all the subspecialities of laryngology, from phonosurgery to cancer. Each surgical procedure is explained and well illustrated in a step-by-step manner. In addition, coverage evaluates different surgical methods such as endoscopic versus open surgery and the use of cold instrument versus laser so that the reader receives guidance for the use of these complimentary methods.