Type I cordectomy and previous assessment without endotracheal tube

In this video, an assessment with endoscope while the patient is in apnea is performed prior to intubation to thoroughly explore the larynx. This is a patient with a leukoplakia (final pathology: severe dysplasia). Once the endoscopy has been performed, which allows for a very accurate assessment of the larynx, the patient is intubated and direct laryngoscopy is performed. We start the direct laryngoscopy using the endoscope again, to move on to a type I cordectomy with CO2 laser and microscope. Once the cordectomy is finished, the endoscope is used again to better visualize the resection.