Abstract
A 55-year-old male with progressively worsening hoarseness was found to have a vocal cord polyp of >10 mm in diameter on the right true cord. It was necessary to remove the polyp in order to prevent airway obstruction by prolapse. However, the patient was a poor candidate for resection by standard otolaryngologic procedures because of the large size of the polyp and because he had a symptomatic cervical disc herniation. Therefore, endoscopic resection under general anesthesia using a bipolar electrocautery snare was selected. This case was our first attempt to treat a vocal cord polyp using this technique, and we found that polypectomy with the bipolar snare was an efficient and safe method for the treatment of this lesion.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Strong MS, Vaughan CW. Vocal cord nodules and polyps—the role of surgical treatment. Laryngoscope. 1971;81(6):911–23.
Scalco AN, Shipman WF, Tabb HG. Microscopic suspension laryngoscopy. Ann Otol Rhinol Laryngol. 1960;69:1134–8.
Omori K, Shinohara K, Tsuji T, et al. Videoendoscopic laryngeal surgery. Ann Otol Rhinol Laryngol. 2000;109(2):149–55.
Onoda T, Nomiya S, Kariya S, et al. Sato curved laryngoscope usefulness in fish hook removal from the cervical esophagus. Stomato-Pharyngology. 2009;22:215–8.
Hanaoka N, Ishihara R, Takeuchi Y, et al. Clinical outcomes of endoscopic mucosal resection and endoscopic submucosal dissection as a transoral treatment for superficial pharyngeal cancer. Head Neck. 2013;35(9):1248–54.
Okada K, Tsuchida T, Ishiyama A, et al. Endoscopic mucosal resection and endoscopic submucosal dissection for en bloc resection of superficial pharyngeal carcinomas. Endoscopy. 2012;44(6):556–64.
Satou Y, Omori T, Tagawa M. Treatment of superficial carcinoma in the hypopharynx. Nihon Jibiinkoka Gakkai Kaiho. 2006;109(7):581–6.
Kawakubo H, Omori T, Ando T, et al. Clinical outcome of treatment for superficial carcinoma of the oropharynx and hypopharynx. Stomach Intest. 2010;45:265–81.
Bhattacharya AK, Caputo J. Vocal cord polypectomy with fiberoptic sinus endoscopes. Otolaryngol Head Neck Surg. 1998;118:381–2.
Chengyong Z, Hongyan F, Qide M. Vocal cord polypectomy of patient with thick and short neck using laryngostroscope under direct vision. J Clin Otorhinolaryngol. 2003;17(12):730–1.
Saraya T, Ikematsu H, Fu K, et al. Evaluation of complications related to therapeutic colonoscopy using the bipolar snare. Surg Endosc. 2012;26:533–40.
Disclosures
Conflict of Interest:
All authors state that they have no conflict of interest (COI).
Human/Animal Rights:
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).
Informed Consent:
Informed consent was obtained from all patients for being included in the study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Minamino, H., Nagami, Y., Tominaga, K. et al. Endoscopic resection of a vocal cord polyp with a bipolar snare in a patient with cervical disc herniation. Clin J Gastroenterol 7, 136–139 (2014). https://doi.org/10.1007/s12328-014-0469-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12328-014-0469-3