title: Chondrolaryngoplasty under general anesthesia using a flexible fiberoptic laryngoscope and laryngeal mask airway.
abstract: OBJECTIVE
  To describe a surgical and anesthetic technique for chondrolaryngoplasty ("tracheal shaving") involving external translaryngeal needle insertion under general anesthesia, using a flexible fiberoptic bronchoscope and laryngeal mask airway.
  
  
  METHODS
  Retrospective review of 31 patients who underwent chondrolaryngoplasty performed by a single surgeon.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  Thirty-one consecutive patients presenting for aesthetic treatment of their thyroid cartilage.
  
  
  RESULTS
  The procedures were all successful, with no voice complications and only 1 transient anesthetic complication.
  
  
  CONCLUSIONS
  Chondrolaryngoplasty with translaryngeal needle placement to identify the level of the anterior commissure is a safe, effective surgical technique that minimizes the most significant risks of the surgical procedure.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston Medical Center, FGH Bldg, Fourth Floor, Boston, MA 02118, USA. Jeffrey.Spiegel@bmc.org
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Spiegel
authors.forename: Gerardo
authors.initials: G
authors.lastname: Rodriguez
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D003357:Cosmetic Techniques; D004954:Esthetics; D005500:Follow-Up Studies; D006801:Humans; D017214:Laryngeal Masks; D020704:Laryngoscopes; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013523:Surgical Equipment; D013957:Thyroid Cartilage / Q000601:surgery*; D014189:Transsexualism / Q000601:surgery; D014741:Video Recording / Q000295:instrumentation*; D014833:Voice Quality / Q000502:physiology