[Phonomicrosurgical management of the disease of vocal fold].
OBJECTIVE
To find a way of reserving normal high quality phonatory function after vocal cord surgery.


METHODS
Various benign lesions (vocal nodules, polyp of vocal cord, cyst of vocal cord, etc) as well as premalignant lesion and early glottic cancer were treated with minimally excision, lateral microflap, medial microflap, submucosal infusion, mucosal stripping or epithelium stripping of phonomicrosurgical techniques to achieve minimally invasion.


RESULTS
The 1,044 (99.8%) patients suffering from vocal nodules, polyp or cyst and 12 Reinke's edema achieved a normal phonation within a week. The recovery of normal phonation in 20 Reinke's edema, 31 vocal cases needed 1-3 months, by mucosal stripping. The restoration of phonation on 5 papilloma, 36 early malignancy were better than trans-cervical operation. After 5 year follow-up, 3 cases of vocal cord premalignant lesions received the re-stripping operation. 32 cases of early glottic cancer remained tumor free, 5 cases relapsed and 2 cases received the re-stripping operation, and 2 cases received laryngectomy operation.


CONCLUSIONS
The phonomicrosurgery may cure vocal disease and reserves good voice function.
Zhang
Xiaobo
X
Department of Otorhinolaryngology, China-Japan Friendship Hospital, Beijing 100029, China. jncheng@21cn.com
Yang
Dazhang
D
Wang
Naya
N
Liu
Dandan
D
Cheng
Jingning
J
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007818:Laryngeal Diseases / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D010699:Phonation; D014827:Vocal Cords / Q000601:surgery*