Channel: Chapter 3 - Precancerous lesions and laryngeal RRP - eLarynx

Cordectomy type I left vocal cord

Fri, 09 Dec 2022 13:34:02 +0100

56-year old, female, leukoplakia left vocal cord, cordectomy type I

Laryngeal papillomatosis vaporized with blue laser

Sun, 11 Dec 2022 12:55:18 +0100

In this video we show a patient with recurrent papillomatosis of the larynx, operated multiple times, who in this case is operated using the blue laser to better reach the lesion, which is located posteriorly, at the level of the vocal process of the right arytenoid. The result was very good.

Laryngeal papillomatosis with dysplasia

Sun, 11 Dec 2022 12:15:23 +0100

In this video we show a bilateral type I cordectomy without resecting the anterior commissure, using infiltration with local anesthetic in the space of Reinke and cold instruments. A very thin endotracheal tube is used (technique with a special respirator) to facilitate the exposure of the entire glottis. We use a combination of endoscopes and microscope.

Recurrent respiratory papillomatosis RRP

Tue, 17 Jan 2023 13:30:12 +0100

28 year old male patients with recurrence of the papillomatosis in anterior commissure. Recurrent respiratory papilllomatosis is the disease cause by HPV viruses typ 6/11. This disease is characterized by recurrent warts covering the epithelium. The patient was operated 6 months before in our Department. The papillomas were removed by using co2 laser. During the procedure the biopsy was taken to the histopathological examination. The lesions were excide only from the right vocal fold to prevent synechia and web formation in anterior commissure.

Type I cordectomy and previous assessment without endotracheal tube

Sun, 11 Dec 2022 13:01:45 +0100

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.

Leukoplakia of the right vocal fold. Cordectomy type I

Tue, 17 Jan 2023 12:38:16 +0100

This case shows the leukoplakia of the right vocal fold. Cordectomy typ I was performed to excise the lesion. Cotton swab was used to secure the intubation tube. In the first stage, using a laser, we mark the resection margin, then we remove only the epithelium of the vocal fold, preserving the deeper layers, such as the vocal ligament or the vocal muscle.

Biopsy of the left vocal cord

Fri, 09 Dec 2022 13:52:11 +0100

70-year old, male, dysplasia of the left vocal cord, cold steel resection

Papilloma resection right vocal cord

Fri, 09 Dec 2022 13:55:08 +0100

70-year old, male, recurrent respiratory papillomatosis (RRP), laser resection of papillomatosis

Recurrent respiratory papillomatosis RRP

Tue, 24 Jan 2023 11:38:00 +0100

Recurrent respiratory papilllomatosis is the disease cause by HPV viruses typ 6/11. This disease is characterized by recurrent lesions covering the epithelium. This patients has been treated in our Department for 2 years. Last time 6 months ago. Endoscopic examination of the larynx revealed a large papilloma lesion located in the anterior commissure and in the anterior part of the right vocal fold. The papillomas were removed by using co2 laser. During the procedure the biopsy was taken to the histopathological examination. At the end of the procedure a starch dressing was used to prevent adhesions in the anterior commissure area.

Limited type I cordectomy for dysplasia

Sun, 11 Dec 2022 13:20:13 +0100

In this video we show a very limited resection in a relatively small lesion. The final pathology reported moderate dysplasia. Endoscopic assessment and then type I cordectomy are shown.

Recurrent respiratory papillomatosis

Fri, 09 Dec 2022 13:48:48 +0100

61-year old, male, recurrent respiratory papillomatosis (RRP), laserresection of papillomatosis

Type I cordectomy with cold steal instruments

Sun, 11 Dec 2022 12:33:37 +0100

In this video we show the resection (excisional biopsy) using cold steal instruments in an old patient with comorbidities. We performed a limited type I cordectomy to get a final diagnosis. It combines assessment with endoscopes and with the microscope.

Leukoplakia right vocal cord

Fri, 09 Dec 2022 13:22:38 +0100

72 year old, male, leukoplakia of the right vocal cord, cordectomy I, laser

Recurrent respiratory papillomatosis RRP

Tue, 17 Jan 2023 13:20:39 +0100

A young patient was admitted to the clinic because of sever dysphonia. The symptoms such as hoarseness had occurred 3 months earlier and had gradually worsened since then. Recently, there has been a deterioration in physical performance and slight shortness of breath while running. Stroboscopic examination revealed a huge number of papilloma like warts covering both vocal folds, vestibular folds, extended to the subglottic region.

Papillomatosis of the vocal fold

Fri, 09 Dec 2022 13:27:06 +0100

70-year old, male, recurrent respiratory papillomatosis (RRP), laser resection of papillomatosis

Recurrent respiratory papillomatosis RRP

Tue, 17 Jan 2023 13:07:02 +0100

Recurrent respiratory papilllomatosis is the disease cause by HPV viruses typ 6/11. This disease is characterized by recurrent lesions covering the epithelium. This patients has been treated in our Department for 5 years. The papillomas are removed by using co2 laser.During the procedure the biopsy is taken to the histopathological examination. During the operation, the position of the endoscopic tube should be changed to make all lesions visible.

The papillomas were removed by using co2 laser. During the procedure the biopsy was taken to the histopathological examination. The lesions were excide only from the right vocal fold to prevent synechia and web formation especially in anterior commissure. The second procedure is require after 6 -8 weeks.

Recurrent respiratory papillomatosis RRP

Tue, 17 Jan 2023 12:51:56 +0100

This is a case of a patient with laryngeal papillomatosis. The disease was diagnosed 7 years ago. During this time, he underwent 8 procedures to remove papillomas. This time the lesions are located in the posterior commissure and on both arytenoids. The CO2 laser was used to removed the papillomas by vaporization. During the operation, the position of the endoscopic tube should be changed to make all lesions visible.

Recurrent respiratory papillomatosis RRP

Tue, 17 Jan 2023 13:40:49 +0100

60 year old female patients with RRP.
A 60-year-old woman, a teacher of Polish literature, suffering from recurrent papillomatosis of the larynx for several years. The stroboscopy revealed a lesion on the laryngeal surface of the epiglottis. Due to the difficult location, the lesion was removed using a microdebrider with a suction function. During the procedure, the epiglottis was held with forceps.