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Mikrolaryngoskopie und Phonomikrochirurgie

Microlaryngoscopy and phonomicrosurgery

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Zusammenfassung

Die Mikrolaryngoskopie ist eine bewährte und die häufigste Methode bei Kehlkopfoperationen. Durch die Gestaltung neuer Laryngoskope und die Einbeziehung der Videoendoskopie können weitere Verbesserungen der Exposition und Schonung des Zugangswegs möglich werden. Die prinzipiellen mikrochirurgischen Vorgehensweisen zu Verbesserung, Wiederherstellung und Erhalt der Stimmfunktion dagegen haben sich kaum geändert. Sie sind orientiert an der minimalen Exzision pathologischen und maximalen Schonung gesunden Gewebes, insbesondere des Epithels der Stimmlippe und der Lamina propria, den Grundstrukturen für die phonatorische Beweglichkeit. Die Rechtfertigung für die Phonomikrochirurgie mit dem postoperativen Nachweis einer Verbesserung kann nur durch Stimmfunktionsuntersuchungen erbracht werden.

Abstract

Microlaryngoscopy is a reliable technique and the most frequently applied method in laryngeal surgery. The design of new laryngoscopes and the application of video endoscopes may permit further improvements in laryngeal exposure, whilst minimizing the damage caused by their insertion. In contrast to this, the principle microsurgical procedures for improvement, restoration and preservation of the vocal function have remained almost unchanged. These techniques are oriented towards minimal excision of pathological tissue with maximal conservation of normal tissue, in particular the epithelium of the vocal folds and the lamina propria—the basic structures for vocal fold vibration. Phonomicrosurgy can only be justified on the basis of a proven improvement as evidenced by vocal function analysis.

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  1. Klinik für Audiologie und Phoniatrie, Charité – Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland

    T. Nawka, A. Martin & P.P. Caffier

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  1. T. Nawka
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  2. A. Martin
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  3. P.P. Caffier
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Correspondence to T. Nawka.

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Nawka, T., Martin, A. & Caffier, P. Mikrolaryngoskopie und Phonomikrochirurgie. HNO 61, 108–116 (2013). https://doi.org/10.1007/s00106-012-2647-2

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