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.
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