Laryngoscopic Techniques and Office-Based Phonosurgery in Neurolaryngological Disorders

  • Markus M. HessEmail author
  • Susanne Fleischer


Neurolaryngological diseases and disorders can affect voice function, swallowing, and breathing. With comprehensive office-based laryngoscopy procedures, mostly performed transnasally, the biomechanics needed for voice production, breathing, and effective swallowing can be assessed in almost all cases. With ambulatory phonosurgical interventions under topical anesthesia such as vocal fold augmentation and botulinum toxin injections, patients can be helped by improving vocal loudness, voice quality, durability, and stabilizing vocal function significantly. Concerning aspiration of liquid and solid food due to glottic insufficiency as one of the most severe problems, office-based vocal fold augmentation may effectively improve swallowing function.


Office-based surgery Laryngoscopy Vocal fold hypomobility Augmentation Dysphagia Aspiration Phonosurgery 



Special thanks go to Olympus Europe SE & Co. KG, Hamburg, Germany, and to the Deutsche Stimmklinik Management GmbH for permission to reprint several images from the “office-based laryngoscopy” manual.

Financial Support and Sponsorship


Conflicts of Interest



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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Deutsche StimmklinikHamburgGermany
  2. 2.Department of Voice, Speech and Hearing DisordersUniversity Medical Center Hamburg-EppendorfHamburgGermany

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