title: Microsurgical pressing excision technique for vocal nodules and simple epithelial hyperplasia of the vocal fold.
abstract: Precise bimanual microsurgical excision of sessile, thin benign epithelial lesions of the vocal folds can be difficult. During microlaryngeal surgery, the potential risks of over-excision and under-excision are of major concern. We introduce a microsurgical technique using horizontally-opening curved microforceps and microscissors, instead of the conventional vertically-opening microinstruments, to remove vocal nodules and simple epithelial hyperplasia. The treatment results were satisfactory, with 208 (90.8 per cent) of patients retaining a satisfactory/normal (G(0)) voice. No patient had a worsened voice after the procedure. This microsurgical pressing excision technique is an alternative precise method for microlaryngosurgery.
authors.affiliation: Department of Otolaryngology, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. kawolee@kmu.edu.tw
authors.forename: Ka-Wo
authors.initials: KW
authors.lastname: Lee
authors.forename: Wen-Rei
authors.initials: WR
authors.lastname: Kuo
authors.forename: Kuen-Yao
authors.initials: KY
authors.lastname: Ho
authors.forename: Feng-Yu
authors.initials: FY
authors.lastname: Chiang
mesh_terms: D004848:Epithelium / Q000601:surgery; D005260:Female; D006801:Humans; D006965:Hyperplasia / Q000601:surgery; D007818:Laryngeal Diseases / Q000473:pathology / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods; D013517:Otorhinolaryngologic Surgical Procedures / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome; D014827:Vocal Cords / Q000601:surgery*