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- W2017462894 abstract "One of the major advantages of laryngeal framework surgery is that it affords the surgeon an opportunity to obtain feedback during the procedure so that appropriate modifications can be made intraoperatively to achieve an optimal result. In order to maximize the opportunity for intraoperative adjustments, it is necessary to perform these procedures under local anesthesia. This way, the patient can phonate while the surgeon monitors the response perceptually and observes the alterations in surface anatomical configuration by flexible fiberoptic endoscopy. Medialization thyroplasty is the most predictable of the framework procedures and allows the surgeon to create measured contour alterations of the vocal fold. Routine decisions must be made regarding exposure, placement of incisions, and shim designs. The decision to employ adjunctive procedures or alternative materials is often made during surgery. Above all, the surgeon must be prepared to alter the planned procedure when faced with surgical complications and inadvertent tissue injuries that threaten the patient's well being and the surgical result. One of the major advantages of laryngeal framework surgery is that it affords the surgeon an opportunity to obtain feedback during the procedure so that appropriate modifications can be made intraoperatively to achieve an optimal result. In order to maximize the opportunity for intraoperative adjustments, it is necessary to perform these procedures under local anesthesia. This way, the patient can phonate while the surgeon monitors the response perceptually and observes the alterations in surface anatomical configuration by flexible fiberoptic endoscopy. Medialization thyroplasty is the most predictable of the framework procedures and allows the surgeon to create measured contour alterations of the vocal fold. Routine decisions must be made regarding exposure, placement of incisions, and shim designs. The decision to employ adjunctive procedures or alternative materials is often made during surgery. Above all, the surgeon must be prepared to alter the planned procedure when faced with surgical complications and inadvertent tissue injuries that threaten the patient's well being and the surgical result." @default.
- W2017462894 created "2016-06-24" @default.
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- W2017462894 date "1999-03-01" @default.
- W2017462894 modified "2023-09-30" @default.
- W2017462894 title "Intraoperative decision making in medialization laryngoplasty" @default.
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- W2017462894 doi "https://doi.org/10.1016/s1043-1810(99)80044-x" @default.
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