Abstract

The laryngomicrosurgery under a direct laryngoscope has been successfully employed for treatment of the laryngeal lesions. In addition to the conventional method of the laryngomicrosurgery, a therapeutic flexible laryngofiberscope has been used for minor surgery of the laryngeal lesions.We have employed a therapeutic flexible laryngofiberscope for phonosurgical resection of laryngeal lesions such as vocal fold polyps with monitoring system by using laryngostrobovideography. This new technique has been successfully performed and excellent results have been obtained.This new method is highly recommended based upon the followings: 1) no uncomfortable and no severe painful sensation during operation, 2) available even for patients who can not open their mouth because of odontological problems, or patients with severe cardiovascular and pulmonary lesions and 3) available under surface anesthesia of pharynx and larynx without admission.

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