Abstract

The microflap technique for vocal fold lesions is an innovation that originally began in the mid 1980’s, and became established between the mid 1990’s and 2000. The concept is to preserve as much tissues as possible in vocal fold surgery under microscopy. Vocal function is the most important aspect, and post operative form of the vocal folds follows function. Microfalp technique consists of a superficial cordotomy, dissection of the lesion preserving healthy tissues in the lamina propria and the epithelium, removal of the lesion, and realignment of the remaining tissue. The microfalp technique is feasible and useful for a variety of vocal fold lesions including vocal polyp, nodule, cyst, Reinke’s edema, leukoplakia, carcinoma in situ, scar, sulcus, etc.

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