Book chapter
Office-Based Laryngeal Biopsy, Excision of Masses, and Dilation
Office-Based Laryngeal Surgery, pp 247-258
13 Jun 2022
Abstract
Laryngeal biopsy and excision of vocal fold masses traditionally are performed under direct laryngoscopy. With recent advances in technology, these procedures are now performed safely in an office setting. Unlike laryngeal brush biopsies that do not cross the basement membrane, office-based laryngeal biopsies provide a full-thickness specimen of the suspicious lesion, thus allowing assessment of deep tissue invasion. The diagnostic yield of office-based laryngeal biopsy is particularly high in patients with benign and malignant lesions. In many patients with mild-to-moderate dysplasia, biopsy under general anesthesia or close monitoring is advocated. Another commonly performed office-based procedure under indirect laryngoscopy is resection of vocal fold masses. The surgery may be performed perorally using curved surgical instruments or transnasally using flexible devices introduced through the working channel of the operating endoscope. It is important to note that office-based removal of vocal fold masses does not preclude later suspension microlaryngeal surgery in patients with residual disease or recurrence. Other procedures also may be performed in an office setting including even laryngeal dilation. Other procedures also may be performed in an office setting including even laryngeal dilation.
This chapter reviews the current literature on indirect laryngeal brush biopsy, biopsy, excision of vocal fold masses, and laryngeal dilation. The clinical indications, benefits, and limitations using the indirect approach are discussed.
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Details
- Title
- Office-Based Laryngeal Biopsy, Excision of Masses, and Dilation
- Creators
- Abdul-latif HamdanRobert Thayer Sataloff - Drexel UniversityGhiath Alnouri - Drexel UniversityMary J. Hawkshaw - Drexel University
- Publication Details
- Office-Based Laryngeal Surgery, pp 247-258
- Publisher
- Springer International Publishing; Cham
- Number of pages
- 12
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- College of Medicine; Otolaryngology (and Head and Neck Surgery)
- Scopus ID
- 2-s2.0-85158024998
- Other Identifier
- 991021901311604721