Phonosurgery

Question 1

What are the 3 methods of phono surgery?

Answer 1

• laser
• microdebrider
• scalpel

Question 2

When would be use a scalpel during phono surgery?

Answer 2

-When we want to remove a lesion as whole, like for a cyst

Question 3

What are the two types of incisions that can be made with a scalpel during phono surgery

Answer 3

• Microflap

- Minimicroflap

Question 4

Describe Type 1 (medialization) thyroplasty

Answer 4

• they cut a window into the side of the thyroid, then they insert a silicone wedge into the window.
• The added material behind the paralyzed VF, it becomes medialized and the non-paralyzed VF can make better contact.

Question 5

Describe injection of materials behind the thyroarytenoid

Answer 5

The idea is to inject something behind the VF until it bulges out.

Question 6

What are the temporary materials that can be injected behind the thyroarytenoid?

Answer 6

• saline solution (for testing)
• autologous fat
• collagen
• gelfoam
• calcium hydroxylapatite

Question 7

What is the permanent material that can be injected behind the thyroarytenoid? Why don’t we use it?

Answer 7

Teflon – can lead to necrosis over time. It is very viscous and embeds itself into the tissue, making it difficult to remove.