This video elucidates the procedural technique employed for endoscopic laryngeal web repair in pediatric patients, wherein a laryngeal anterior commissure stent (LACS) is inserted.
It delineates the steps of the surgical intervention, as well as the subsequent postoperative assessment by awake fiberoptic nasolaryngoscopy examination.
This video shows how we manage A-frame deformity in cases post tracheastomy or post laryngeal reconstruction.
Important steps of the procedure highlighted in the video.
Authors: Yonatan Lahav, MD, Doron Halperin, MD, Hagit Shoffel-Havakuk, MD.
Subepithelial vocal fold cordectomy (Type I cordectomy according to the ELS classification) for Carcinoma In Situ, performed under general anesthesia with direct microlaryngoscopy and suspension using a free beam CO2 Laser. The resection respects the layered structure of the vocal folds and preserves the superficial lamina propria and its vasculature. The video follows the procedure step by step and includes detailed instructions.
Contributor: Michael Johns III, MD
This video demonstrates a steroid injection in an awake patient for the treatment of idiopathic subglottic stenosis. The patient is first anesthetized with topical 2% lidocaine over the larynx and 1% lidocaine with epinephrine percutaneously over the cricoid cartilage. An endoscope is passed transnasally and positioned just below the vocal folds. A 23 gauge needle is then passed through the cricothyroid membrane, and Kenalog is circumferentially injected submucosally taking care not to reduce the caliber size of the airway.
DOI: http://dx.doi.org/10.17797/htvmbepobg
Contributors: Clark A. Rosen
Superficial injection of steroids into the true vocal folds can be performed to reduce or prevent vocal fold scar formation as well as for treatments of benign vocal fold lesions.
DOI: http://dx.doi.org/10.17797/zle2prpaif
Editor Recruited By: Michael M. Johns, III, MD
The procedure shown in this video is an awake transcervical injection laryngoplasty via a thyrohyoid membrane approach.
Editor Recruited By: Michael M. Johns III, MD
DOI: http://dx.doi.org/10.17797/elckgrc4zg
The procedure shown in this video is a pediatric ansa to recurrent laryngeal nerve reinnervation. It is performed with a concurrent laryngeal electromyography and injection laryngoplasty.
Editor Recruited By: Sanjay Parikh, MD, FACS
DOI: http://dx.doi.org/10.17797/7jjbn56ca3
Contributor: VyVy N. Young and Clark A. Rosen
Lipoinjection of the vocal folds results in medialization and augmentation of the vocal folds by deposition of autologous fat.
Editor Recruited By: Michael Johns, III, MD
DOI: http://dx.doi.org/10.17797/ngjuxe20iq
Contributors: Michael M. Johns III and Benjamin Anthony
The patient is a 53 year-old female with history of idiopathic subglottic stenosis and long-standing right vocal fold scarring who had previously been treated endoscopically in the operating room and in the office with steroid injections. She returns to the operating room for scheduled endoscopic CO2 laser treatment, Depo-Medrol injection (not shown), balloon dilation, and Mitomycin C application (not shown).
DOI: http://dx.doi.org/10.17797/p7s4gn9n20
Editor Recruited By: Michael M. Johns, III, MD
Endoscopic posterior cricoid split with rib grafting can be used in children with bilateral vocal fold immobility due to bilateral vocal fold paralysis or cricoarytenoid joint fixation with posterior glottic stenosis. It is preferred to vocal cordotomy/arytenoidectomy because it is a non-destructive procedure with no impact on voice and swallowing. It is also preferred to open laryngotracheal reconstruction because it does not disrupt the anterior cricoid ring thereby preserving the “spring” of the cricoid.
DOI: http://dx.doi.org/10.17797/gcnyoduseo
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