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A Case of Huge Vocal Polyp in a Patient With Difficult Laryngeal Exposure Treated by Fiberoptic Laryngeal Laser Surgery Under Local Anesthesia

전신마취 하 후두미세수술이 불가능한 경추 손상 환자에게서 국소마취 하 굴곡내시경 후두 레이저 수술로 치료한 거대한 성대 폴립 1예

  • An, You Young (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Jeong Hyun (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Ki Nam (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seung Won (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine)
  • 안유영 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 이정현 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 박기남 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 이승원 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실)
  • Received : 2021.08.23
  • Accepted : 2021.12.09
  • Published : 2021.12.31

Abstract

Indications of fiberoptic laryngeal laser surgery (FLS) procedure have broadened by the development of flexible fiberoptic endoscopes and flexible laser systems. FLS procedure performed under local anesthesia and it is the unique value of FLS. The surgery can be performed on patients who are impossible to undergo general anesthesia and difficult to be exposed by laryngeal microsurgery. Main indication of FLS procedure was small to moderate sized hemorrhagic vocal polyp, but we experienced a case of huge vocal polyp with difficult laryngeal exposure treated by FLS procedure under local anesthesia. The vocal polyp was removed successfully without vocal fold scar through fiberoptic laryngeal laser surgery under local anesthesia.

Keywords

Acknowledgement

This study was supported by the Soonchunhyang University Research Fund.

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