In this video we show a procedure to improve one of the common dysphagia problems, which is drooling. We performed a ligation with clips of the Wharton’s duct (we show one side, but it is done bilaterally). The papilla is located, an incision is made in the floor of the mouth, the Wharton’s duct is identified, and confirmed with sialoendoscopy material by placing the guide inside Wharton’s duct. Once well isolated, 2-3 clips are placed, and the mucosa that was opened in the floor of>

In this video we show a tracheostomy performed under local anesthesia in a patient with supraglottic cancer. This procedure was done as the first step before proceeding with a supraglottic laryngectomy with CO2 laser and bilateral neck dissection. 

In this video we perform a resection of a supraglottic cancer with transoral ultrasonic surgery (TOUSS). The cancer was in the laryngeal surface of the epiglottis. We start cutting at the level of the left aryepiglottic fold and then at the level of the right aryepiglottic fold and we proceed towards the base of the tongue. We circle the entire epiglottis, and we removed the whole tumor with sufficient margins.

In this video we show a surgery for a posterior glottic stenosis (Bogdasarian type I). During the surgery, the scarred area is located (a fusion between the vocal processes of the arytenoids), and it is cut with scissors. Subsequently, steroids are injected throughout the region. The result was excellent, recovering normal motility and normal laryngeal function.

In this video, we will show the resection of a plasmacytoma of the pre-epiglottic space. We start by detaching the infrahyoid muscles from the hyoid bone. We expose the cranial edge of the thyroid cartilage, and we continue to dissect above it until we find the mass. We carefully remove the mass with bipolar cautery and blunt dissection. We had to remove a part of the thyroid cartilage to have a better exposure of the lesion. Once completely removed, we closed by layers.

In this video we show the case of a patient with severe dysphagia due to an enlarged piriform sinus after a vocal cord paralysis. We performed a pharyngoplasty, resecting the excess of mucosa of the piriform sinus. We expose the thyroid cartilage, we cut the constrictor muscle, we cut the edge of the thyroid cartilage and we identify the mucosa of the piriform sinus. We cut the excess of mucosa with and Endo GIA stapler, and we then suture back the constrictor muscle, and we close by layers.