Table of Contents
Pt. A Clinical Evaluation of Laryngeal Disorders 3
1 Anatomy and Physiology of the Larynx 3
2 Principles of Clinical Evaluation for Voice Disorders 9
3 Videostroboscopy and Dynamic Voice Evaluation with Flexible Laryngoscopy 17
4 Pathological Conditions of the Vocal Fold 21
5 Glottic Insufficiency: Vocal Fold Paralysis, Paresis, and Atrophy 29
6 Glottic and Subglottic Stenosis: Evaluation and Surgical Planning 37
7 Nonsurgical Treatment of Voice Disorders 43
8 Timing, Planning, and Decision Making in Phonosurgery 49
9 Anesthesia and Airway Management for laryngeal Surgery 53 Pt. B Phonomicrosurgery for Benign Laryngeal Pathology I Fundamentals of Phonomicrosurgery
10 Principles of Phonomicrosurgery 63
11 Perioperative Care for Phonomicrosurgery 77
12 Management and Prevention of Complications Related to Phonomicrosurgery 81
13 Principles of Laser Microlaryngoscopy 85
14 Principles of Vocal Fold Augmentation 91 II Phonomicrosurgical Voice Procedures
15 Vocal Fold Polyp 99
16 Vocal Fold Nodules 105
17 Vocal Fold Cyst and Vocal Fold Fibrous Mass 109
18 Polypoid Corditis 113
19 Vocal Fold Granuloma 119
20 Vocal Fold Leukoplakia and Hyperkeratosis 123
21 Surgical Treatment of Recurrent Respiratory Papillomatosis of the Larynx 129
22 Surgical Management of Vocal Fold Vascular Lesions 135
23 Vocal Fold Scar and Sulcus Vocalis 141
24 Endoscopic Management of Tetlon Granuloma 151
25 Endoscopic Excision of Saccular Cyst 155
16 Anterior Glottic Web 159 III Laser Microlaryngeal Surgery (Airway/Neoplastic Conditions)
27 Bilateral Vocal Fold Paralysis 167
28 Posterior Glottic Stenosis: Endoscopic Approach175
29 Subglottic/Tracheal Stenosis: Laser/Endoscopic Management 181
30 Carcinoma of the Vocal Fold 191 IV Laryngeal Injection Techniques
31 Vocal Fold Augmentation via Direct Microlaryngoscopy 197
32 Superficial Vocal Fold Injection 205
33 Peroral Vocal Fold Augmentation in the Clinic Setting 209
34 Percutaneous Vocal Fold Augmentation in the Clinic Setting 215
35 Botulinum Toxin Injection of the Larynx 221 Pt. C Laryngeal Framework Surgery
36 Principles of Laryngeal Framework Surgery 231
37 Perioperative Carefor Laryngeal Framework Surgery 235
38 Silastic Medialization Laryngoplasty for Unilateral Vocal Fold Paralysis 241
39 GORE-TEX Medialization Laryngoplasty 253
40 Arytenoid Adduction 257
41 Cricothyroid Subluxatlon 263
42 Translaryngeal Removal of Teflon Granuloma 267
43 Excision of Combined Laryngocele 273
44 Repair of Laryngeal Fracture 279
45 Glottic and Subglottic Stenosis: Laryngotracheal Reconstruction with Grafting 283
46 Glottic and Subglottic Stenosis: Cricotracheal Resection with Primary Anastomosis 289
47 Tracheal Stenosis: Tracheal Resection with Primary Anastomosis 295
48 The Gray Minithyrotomy for Vocal Fold Scar/Sulcus Vocalis 299 Subject Index 305