Microlaryngeal
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Adenoid Surgery with Tube Insertion

Microlaryngeal Surgery

Microlaryngeal Surgery is performed for diseases in the pharynx and larynx.

INDICATIONS FOR MLS

  1. For removal of swellings/ lesions in Oropharynx, Hypopharynx and Larynx
  2. For taking a Biopsy from a suspicious swelling
  3. For procedures on the Vocal cords
  4. For correction of subglottic stenosis

ANAESTHESIA

General Anaesthesia, usually with specially designed endotracheal tubes which are narrower in diameter so as not to obstruct the lesion on the vocal cords.

INSTRUMENTATION/ EQUIPMENT

    • Rigid Laryngoscope
    • Operating Microscope with 400mm lens
    • Suspension system
    • Injection needles
    • Forceps, Scissors, Dissectors, knife etc
    • Laser – where required
    • Biplolar cautery- where required
    • Coblation
    • Microdebrider
    • 0, 30 and 70 degree rigid scopes along with camera console/ tower.
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Ent Specialist in Delhi

TECHNIQUE -

  • A Rigid laryngoscope is taken and introduced into the mouth of the patient over mouth guard
  • The lesion/ vocal cords are clearly visualized and the scope fixed using a suspension system, usually on the chest of the patient.
  • The Operating Microscope is adjusted
  • The lesion is examined in detail and pledgets with Xylocaine and adrenaline placed on the lesion and below it
  • Using microdissection technique the lesion is removed using forceps and scissors
  • Haemostasis -control of bleeding) is done using a Laser or Bipolar diathermy.
  • The removed sample is sent for histopathology

COMPLICATIONS OF MICROLARYNGEAL SURGERY

  • Bleeding
  • Change in voice
  • Damage to Lips, Teeth
  • Incomplete removal of lesion on account of anatomical or other considerations.

POST OPERATIVE CARE AFTER MLS

  • Voice rest/ No Phonation for 3-5 days
  • Pain relief
  • Oral steroids – sometimes- to reduce oedema and inflammation.
  • Antacid/ Anti reflux medication.

Microlaryngeal is a commonly performed surgical procedure with generally very satisfactory results in experienced hands.

COMPLICATIONS
COMPLICATIONS 1
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Address

D 3/14, Ground Floor Vasant Vihar New Delhi 110 057
Mobile: +91 98711 50032

Hour of Operation

Monday To Saturday
Morning Timing
09:30 AM to 11:30 AM
Evening Timings
4:30 PM to 7:00 PM

Thursday Morning Clinic Is Closed Thursday Evening 4:30 PM to 7:00 PM

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