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Vocal Fold Cordectomy Type I (ELS classification) for Carcinoma In Situ of the Vocal Fold Using Carbon Dioxide Laser

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.

Subepithelial vocal fold cordectomy
Superficial malignant or premalignant epithelial vocal fold mass
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- General anesthesia - Endotracheal intubation with 5mm laser tube. - Direct microscopic laryngoscopy and suspension. - Laser safety (CO2 laser goggles and masks, etc.)
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Direct laryngoscopy related complications: (damage to teeth, lips, gums, tongue or cervical spine). General anesthesia related complications. Dysphonia and vocal fold scarring.
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