The lesion was completely removed by direct
suspension laryngoscopy. Macroscopically, the lesion was about 0.5 cm in diameter, soft and polypoid.
Surgical removal of the polyp using a [CO.sub.2] laser via
suspension laryngoscopy proceeded uneventfully.
The closure is performed with the aid of an operating microscope,
suspension laryngoscopy, and an endoscopic needle driver and knot pusher.
This may be due to the lack of
suspension laryngoscopy. However, there are case reports of epiglottic trauma with the use of this technique (16).
With a
suspension laryngoscopy technique, the cysts were aspirated with a 22-gauge syringe; they were subsequently decompressed further with a 3.0-mm and a 3.5-mm ventilating bronchoscope (figure 2, B).
The patient was taken urgently to the operating suite, where extirpation of the mass via suspension laryngoscopy was performed (figure 1).
This is most easily approached via suspension laryngoscopy. Successful removal of these typically poorly vascularized tumors can be achieved with microlaryngeal instrumentation.
Suspension laryngoscopy showed that the polypoid lesion had arisen from the right true vocal fold and anterior commissure.
He was then sent to the Ear, Nose, and Throat Service, where we confirmed that his subcutaneous emphysema could be brought on by Valsalva's maneuver We performed
suspension laryngoscopy and detected two orifices of fistular tracts next to the right vallecula and three at the root of the epiglottis.
The optimal system for general anesthesia during
suspension laryngoscopy would allow the surgeon complete and unimpeded access to the endolarynx without vocal fold movement.
In our patient, we used
suspension laryngoscopy with jet ventilation, a [CO.sub.2] laser, and endoscopic instruments to excise the cricoid osteoma.