• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.24 no.2
• /
• pp.96-101
• /
• 2013

Laryngeal framework surgery (LFS) is a unique phonosurgical concept that enables us to influence the laryngeal biomechanics by changing the shape/position of the laryngeal cartilages. LFS procedures can be favorably combined with one another but also with other phonosurgical methods, and they are usually reversible and correctable. Type I thyroplasty and arytenoid adduction are still useful in spite of the recent popularity of injection laryngoplasty. Basic surgical principles have seldom been changed since Isshiki's development, but a number of modifications have been tried and are still going on. These delicate surgeries require exhaustive training, but the reward is great to both the surgeon and the patient.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.22 no.1
• /
• pp.18-22
• /
• 2011

Laryngeal framework surgery comprises medialization laryngoplasty and arytenoid adduction. Since their introduction in the 1970s, these procedures have become standard treatments for vocal fold paralysis and glottal incompetence. However, frequency of laryngeal framework surgery is conjectured to relatively decrease along with the introduction of injection laryngoplasty. In this manuscript, indications for laryngeal framework surgery were highlighted in contrast to those of injection laryngoplasty. The authors introduced the basic concepts and principles as well as surgical techniques of laryngeal framework surgery. Even though the incidence of major and/or minor complications after laryngeal framework surgery is not high, surgeons should be well aware of its possible complications and they should be familiar with tips and know-how to avoid or cope with complications.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.22 no.1
• /
• pp.23-29
• /
• 2011

Laryngomicrosurgery is common procedure applying to benign laryngeal lesion. Suspension of the laryngoscope is a vital component of Laryngomicrosurgery. Suspension laryngoscopy allows for bimanual surgery and a stable operating platform. Little information is known about oropharyngeal & vocal fold complications of suspension laryngoscopy. Because laryngomicrosurgery is dependent upon suspension laryngoscopy, surgeons should fully understand the risks of suspension laryngoscopy to properly educate and care for patients undergoing suspension laryngoscopy. That is problem to allow otolaryngologist is embarrassing, for voice restoration surgery are not satisfied with the results. The authors reviewed mechanical and phonological complications after laryngomicrosurgery.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.21 no.2
• /
• pp.101-104
• /
• 2010

The origin and growth of laryngology is inseparably linked to the development of endoscopic surgery of the larynx. Phonomicrosurgery is a means of maximally preserving the layered microstructure of the vocal fold, that is, the epithelium and lamina propria. Phonomicrosurgery has developed from convergence of micro laryngoscopic surgical technique theory and the mucosal wave theory of laryngeal sound production. Improvements in technology (i.e., laryngoscopes, handled instruments, and lasers), which in part arise from developments in more frequently performed minimally invasive surgical procedures, will probably facilitate the next generation of procedural innovations. The best methods of optimizing phonosurgical outcomes include making an accurate diagnosis, completing a comprehensive voice evaluation, providing sufficient preoperative therapy, carefully selecting patients to undergo phonomicrosurgical procedures, and requiring sufficient postoperative rest and therapy. Phonomicrosurgery will continue to evolve as a result of the interdependent collaboration of surgeons with voice scientists, speech pathologist, and other voice professionals.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.24 no.1
• /
• pp.13-17
• /
• 2013

Laser laryngeal microsurgery is currently the primary method of treatment of various laryngeal diseases. The development of laryngeal microsurgery came from the introduction of a small spot $CO_2$ laser micromanipulator and more precise microlaryngeal instruments. $CO_2$ laser laryngeal microsurgery has enabled very precise surgery because it has small focus size and hemostatic effect. There are some limitations to the use of the $CO_2$ Laser such as adjacent tissue damage and vocal fold scarring. These problems can be minimized through understanding the mechanisms by which lasers function and correctly manipulating the parameters under a surgeon's control. We should also recognize the safety of $CO_2$ laser for the surgeon to precisely perform the procedure.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.33 no.2
• /
• pp.59-63
• /
• 2022

The laryngeal framework surgery (LFS) is an operation to correct the position and tension of the vocal cords by changing the laryngeal cartilage and muscles. LFS such as type 1 thyroplasty, arytenoid adduction, and arytenopexy is performed to improve the voice of patients with unilateral vocal cord paralysis. It is known that the voice improvement effect of LFS in patients with unilateral vocal cord paralysis is excellent and lasts for a long time. LFS can also be operated under local anesthesia. Complications are not common, however, severe complications like airway obstruction could occur after the operation. Recently, several other attempts to modify the traditional surgical method have been reported. This review is intended to be helpful in understanding the characteristics and changes in laryngeal framework surgery.

• Proceedings of the KSLP Conference
• /
• 2002.04a
• /
• pp.83-88
• /
• 2002

• Proceedings of the KSLP Conference
• /
• 2011.03a
• /
• pp.19-19
• /
• 2011

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1979.05a
• /
• pp.8.1-8
• /
• 1979

Microsurgery in otolaryngological field have been used of otomicrosurgery for middle ear operation and recently tend to be used more frepuently for laryngeal surgery. The authors had analyzed 63 cases of laryngeal mass under microsurgery with Suspension Laryngoscope from August '74 to April '79. The results are as follows; 1) The total cases of Suspension Laryngoscope was 63 ; 34 cases (54%) were male and 29 cases (46%) were female. Sex ratio was 1.2 : 1. 2) Age distribution shows 20 cases (37%) in 3rd decide, 10 cases (15.9%) in 4th decade, and 9 cases (14.3%) in 2nd decade. 3) The site of operation was 61 cases (96.8%) from glottic and 2 cases (3.2%) from supraglottic region. 4) The site of glottic region was 24 cases (38.1%) from bilateral, 22 cases (34.9%) from Rt., and 15 cases (14.3%) from Lt. 5) Pathologic findings of biopsy was Laryngeal nodule in 30 cases (47.6%), Squamous cell carcinoma in 10 cases (15.9%), Laryngeal polyp in 8 cases(12.7%), Laryngeal Papilloma in 5 cases (7.9%), and Non-specific inflammation in 5 cases (7.9%).

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1978.06a
• /
• pp.7.1-7
• /
• 1978

The microsurgery of the laryngeal lesions was introduced by Kleinsasser in 1965. This has been utilized for diagnosis, surgical management and education of the laryngeal lesions. The laryngomic-roscopic technique appear to be useful in the evaluation of the lesions which may be precancerous, since minor degrees of epithelial thickening and alterations in the pattern of fine vessels beneath the epithelium may be observed with greater clarity. With suspension laryngoscopy, the authors experienced 11 cases of the laryngeal lesions: polyp (4 cases), web formation between false cords and true cords (1), papilloma (4), laryngeal trauma (1), and squamous cell carcinoma (1).