Clinic for Otorhinolaryngology, Military Medical Academy, Belgrade, Serbia.
Department of Otorhinolaryngology with Maxillofacial Surgery, Clinical Hospital Center Zemun, Zemun, Serbia.
Acta Otorhinolaryngol Ital. 2023 Dec;43(6):424-429. doi: 10.14639/0392-100X-N2487. Epub 2023 Jul 28.
Vocal fold polyps (VFPs) are the most common benign laryngeal lesions that require surgery and are routinely managed by microlaryngoscopy (MLS) under general anaesthesia. Prior to introduction of MLS, VFPs were removed using indirect laryngoscopic surgery (ILS) in local anaesthesia, a procedure that required substantial surgical skill to operate with an unmagnified mirror view of the larynx. With the adoption of wireless endoscopy equipment and personal computers, we tried to simplify this technique so that it can be easily performed in the office. This study aimed to assess the effectiveness of ILS by comparing voice outcomes with MLS.
ILS and MLS were performed in six patients each. Treatment outcomes were measured using a voice self-assessment and objective acoustic analysis. The total cost of both procedures was calculated.
Both techniques allowed successful removal of VFPs in all patients, without significant intergroup differences in voice outcomes. The cost of ILS was significantly lower.
Despite the pilot nature of the study and the small sample size, our data indicate the potential value of this technique which, considering its simplicity and economic value could be used as an alternative to MLS in carefully selected patients.
声带息肉（VFPs）是最常见的良性喉部病变，需要手术治疗，通常在全身麻醉下通过显微镜喉镜（MLS）进行常规管理。在 MLS 引入之前，VFPs 使用局部麻醉下的间接喉镜手术（ILS）切除，该手术需要相当的手术技能才能在喉镜的非放大镜视图下操作。随着无线内窥镜设备和个人电脑的采用，我们试图简化该技术，以便可以在办公室轻松进行。本研究旨在通过比较 MLS 来评估 ILS 的有效性。
每个手术组分别进行 ILS 和 MLS。使用语音自我评估和客观声学分析来测量治疗效果。计算了两种方法的总成本。
两种技术均允许所有患者成功切除 VFPs，两组之间的语音结果无明显差异。ILS 的成本明显较低。
尽管研究具有试点性质且样本量较小，但我们的数据表明该技术具有潜在价值，考虑到其简单性和经济价值，在精心挑选的患者中，它可以替代 MLS 使用。
