International Journal of Head and Neck Surgery

Register      Login

VOLUME 12 , ISSUE 4 ( October-December, 2021 ) > List of Articles

Invited Review Articles

Principles of Phonosurgery

Matthew R Hoffman, C Blake Simpson

Keywords : Anesthesia, Laryngology, Phonosurgery

Citation Information : Hoffman MR, Simpson CB. Principles of Phonosurgery. Int J Head Neck Surg 2021; 12 (4):144-152.

DOI: 10.5005/jp-journals-10001-1513

License: CC BY-NC 4.0

Published Online: 21-05-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Phonosurgery describes a group of operations performed to improve voice quality. Critical to successful phonosurgery is a sound understanding of vocal fold anatomy and physiology combined with delicate tissue handling and removal of pathology with maximal preservation of adjacent structures. This article describes the general principles of phonosurgery, including indications and preoperative considerations, standard equipment, anesthesia, patient positioning and laryngeal exposure, basic surgical principles, approaches to common pathology, and postoperative management.


HTML PDF Share
  1. Zeitels SM, Healy GB. Laryngology and phonosurgery. New Engl J Med 2003;349(9):882–892. DOI: 10.1056/nejmra035148
  2. Ford CN. Advances and refinements in phonosurgery. Laryngoscope 1999;109(12):1891–1900. DOI: 10.1097/00005537- 199912000-00001
  3. Hirano M. Morphological structure of the vocal cord as a vibrator and its variations. Folia Phoniatr (Basel) 1974;26(2):89–94. DOI: 10.1159/000263771
  4. Parke R, McGuinness S, Eccleston M. Nasal high-flow therapy delivers low level positive airway pressure. Br J Anaesth 2009;103(6):886–890. DOI: 10.1093/bja/aep280
  5. Patel A, Nouraei SAR. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anesthesia 2015; 70(3):323–329. DOI: 10.1111/anae.12923
  6. Ritchie JE, Williams AB, Gerard C, et al. Evaluation of a humidified nasal high-flow oxygen system, using oxygraphy, capnography and measurement of upper airway pressures. Anaesth Intens Care 2011;39(6):1103–1110. DOI: 10.1177/0310057x1103900620
  7. Duncan SR, Mihm FG, Guilleminault C, et al. Nasal continuous positive airway pressure in atelectasis. Chest 1987;92(4):621–624. DOI: 10.1378/chest.92.4.621
  8. Roof SA, Ferrandino RM, Villavisanis DF, et al. Infection rates after microlaryngeal and open phonosurgery: the role of postoperative antibiotics. Laryngoscope 2020;130(5):1128–1131. DOI: 10.1002/lary.28225
  9. Young WG, Shama L, Petty B, et al. Comparing videostroboscopy and direct microlaryngoscopy: an argument for flexible consent and operative plan. J Voice 2019;33(2):143–149. DOI: 10.1016/j.jvoice.2017.10.005
  10. Courey MS, Stone RE, Gardner GM, et al. Endoscopic vocal fold microflap: a three-year experience. Ann Otol Rhinol Laryngol 1995;104(4 Pt 1):267–273. DOI: 10.1177/000348949510400402
  11. Sataloff RT, Spiegel JR, Heuer RJ, et al. Laryngeal mini-microflap: a new technique and reassessment of the microflap saga. J Voice 1999;9(2):198–204. DOI: 10.1016/s0892-1997(05)80253-x
  12. Courey MS, Garrett CG, Ossoff RH. Medial microflap for excision of benign vocal fold lesions. Laryngoscope 1997;107(3):340–344. DOI: 10.1097/00005537-199703000-00012
  13. Sridharan S, Achlatis S, Ruiz R, et al. Patient-based outcomes of in-office KTP ablation of vocal fold polyps. Laryngoscope 2014;124(5):1176–1179. DOI: 10.1002/lary.24442
  14. McGarey PO, Collins A, Dominguez LM, et al. Treatment of vocal fold polyps with in-office potassium titanyl phosphate (KTP) laser ablation in professional singers. J Voice 2021;35(5):800–803. DOI: 10.1016/j.jvoice.2020.01.029
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.