Microlaryngoscopy
Microlaryngoscopy is a procedure in which the larynx is visualized through a microscope. It thus allows a magnified view of the larynx which is not possible on direct or indirect laryngoscopy. History: Kleinsasser in 1960 introduced and popularised the new microlaryngoscope used in conjunction with the microscope. Indications: Diagnostic: To have a microscopic visualization of the larynx in cases of hoarseness of voice which cannot be diagnosed by indirect or direct laryngoscopy . Biopsy of laryngeal lesions. Also, the extent of the growth can be seen by this procedure. For assessment of laryngeal trauma. Therapeutic: Removal of foreign bodies Injection of teflon paste in the vocal cords in cases of vocal cord palsy Laser cordectomy in carcinoma of vocal cord Dilatation of subglottic stenosis Insertion of laryngeal stent Arytenoidectomy in cases of abductor cord palsy Excision of vocal nodules, cysts and haemangiomas Technique: Patient is under general...