Skip to main content

Principles of Phonomicrosurgery

  • Chapter
Operative Techniques in Laryngology

Abstract

■ Phonomicrosurgery is elective, precise surgery aimed to improve vocal function based on principles of vocal fold physiology.

■ Phonomicrosurgery utilizes small, delicate surgical instrumentation and is performed with maximum control via high-powered microlaryngoscopy for optimal results.

■ Conservative removal of submucosal pathology with preservation of overlying normal epithelium and superficial lamina propria allows healing by primary intention and optimal voice quality after phonomicrosurgery.

■ Microflap approach to submucosal pathology of the vocal fold is an essential component of most phonomicrosurgical procedures and is a challenging surgical task that requires patience, appropriate instrumentation, surgical skill, and experience.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected Bibliography

  1. Andrea M, Dias O (1995) Rigid and contact endoscopy in microlaryngeal surgery: technique and atlas of clinical cases. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  2. Bastian RW (1996) Vocal fold microsurgery in singers. J Voice 10:389–404

    Article  PubMed  CAS  Google Scholar 

  3. Bouchayer M, Cornut G (1992) Microsurgical treatment of benign vocal fold lesions: indications, technique, results. Folia Phoniatr 44:155–184

    Article  CAS  Google Scholar 

  4. Courey MS, Garrett CG, Ossoff RH (1997) Medial microflap for excision of benign vocal fold lesions. Laryngoscope 107:340–344

    Article  PubMed  CAS  Google Scholar 

  5. Courey MS, Stone RE, Gardner GM, Ossoff RH (1995) Endoscopic vocal fold microflap: a three year experience. Ann Otol Rhinol Laryngol 104:267–273

    PubMed  CAS  Google Scholar 

  6. Ford CN (1999) Advances and refinements in phonosurgery. Laryngoscope 109:1891–1900

    Article  PubMed  CAS  Google Scholar 

  7. Hirano M (1977) Structure and vibratory behavior of the vocal fold. In: Sawashima M, Cooper F (eds) Dynamic aspects of speech production. University of Tokyo, pp 13–30

    Google Scholar 

  8. Rosen CA, Andrade Filho PA, Scheffel L, Buckmire RA (2005) Oropharyngeal complications of suspension laryngoscopy: a prospective study. Laryngoscope 115:1681–1684

    Article  PubMed  Google Scholar 

  9. Sataloff RT, Spiegel JR, Heuer RJ, Barody MM, Emerich KA, Hawkshaw MJ, Rosen DC (1995) Laryngeal mini-microflap: a new technique and reassessment of the microflap saga. J Voice 9:198–204

    Article  PubMed  CAS  Google Scholar 

  10. Shapshay SM, Healy GB (1990) New microlaryngeal instruments for phonatory surgery and pediatric applications. Ann Otol Rhinol Laryngol 98:821–823

    Google Scholar 

  11. Thekdi AA, Rosen CA (2003) Surgical treatment of benign vocal fold lesions. Curr Opin Otolaryngol Head Neck Surg 10:492–496

    Article  Google Scholar 

  12. Zeitels SM, Vaughan CW (1994) External counter-pressure and internal distension for optimal exposure of the anterior glottal commissure. Ann Otol Rhinol Laryngol 103:669–675

    PubMed  CAS  Google Scholar 

  13. Zeitels SM, Hillman RE, Desloge R, Mauri M, Doyle PB (2002) Phonomicrosurgery in singers and performing artists: treatment outcomes, management theories, and future directions. Ann Otol Rhinol Laryngol 190(Suppl.):21–40

    Google Scholar 

Download references

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

(2008). Principles of Phonomicrosurgery. In: Operative Techniques in Laryngology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68107-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68107-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-25806-3

  • Online ISBN: 978-3-540-68107-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics