Endoscopic phonomicrosurgery of an anterior commissure polyp using McCoy laryngoscope in a patient with difficult laryngeal exposure

Abstract

Phonomicrosurgery for benign vocal cord lesions is a common surgical procedure with an excellent phonetic outcome. Adequate laryngeal exposure is essential for complete and precise excision of vocal cord lesions. Anterior commissure is a site which can sometimes pose a challenge of exposure and difficulty in access. Various anatomical and physiological factors can lead to difficulty in the exposure of larynx. There are different scoring systems and parameters to preoperatively predict a case of difficult laryngeal exposure (DLE). However, management options for such cases remain limited. Here, we present such a case which was managed using McCoy intubating laryngoscope and modified microlaryngeal instruments.