MICROLARYNGOSCOPYMICROLARYNGOSCOPYANDAND

ENDOLARYNGEAL MICROSURGERYENDOLARYNGEAL MICROSURGERY

DR.K.K.DESARDADR.K.K.DESARDAPROF & HEAD ORLPROF & HEAD ORL

KEM HOSPITAL PUNEKEM HOSPITAL PUNE

DIAGNOSTIC MODALITIESDIAGNOSTIC MODALITIES

INDIRECT LARYNGOSCOPYINDIRECT LARYNGOSCOPYDIRECT LARYNGOSCOPYDIRECT LARYNGOSCOPYMICROLARYNGOSCOPYMICROLARYNGOSCOPYFLEXIBLE LARYNGOSCOPYFLEXIBLE LARYNGOSCOPYVIDEO LARYNGOSCOPYVIDEO LARYNGOSCOPYSTROBOSCOPYSTROBOSCOPY

INDICATIONSINDICATIONS

PRECISE ASSESMENT OF BENIGN PRECISE ASSESMENT OF BENIGN AND MALIGNENT LESIONSAND MALIGNENT LESIONSPRECISE ASSESMENT OF VOCAL PRECISE ASSESMENT OF VOCAL FUNCTIONS IN CORD PALSYFUNCTIONS IN CORD PALSYACCURATE ASSESMENT OF POST ACCURATE ASSESMENT OF POST INTUBATIONS SUBGLOTTIC INTUBATIONS SUBGLOTTIC STENOSISSTENOSIS

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INDICATIONS INDICATIONS

APPROACHES TO APPROACHES TO ----ELECTOCOAGULATION.ELECTOCOAGULATION.LASER THERAPY.LASER THERAPY.CRYOTHERAPY.CRYOTHERAPY.TEFLON ,FAT INJECTIONS IN TEFLON ,FAT INJECTIONS IN UNIUNI’’LATERAL CORD PALSYLATERAL CORD PALSY

CONTRAINDICATIONSCONTRAINDICATIONS

CARDIOCARDIO--PULMONARY DISEASE.PULMONARY DISEASE.RECENT INFARCT.RECENT INFARCT.AORTIC ANEURYSM.AORTIC ANEURYSM.BRADYCARDIA.BRADYCARDIA.BLEEDING DIATHESIS BLEEDING DIATHESIS

MLSMLS--TECHNICALLY DIFFICULTTECHNICALLY DIFFICULT

ANKYLOSING SPONDYLITITISANKYLOSING SPONDYLITITISFRACTURE OF CERVICAL VERTEBRAFRACTURE OF CERVICAL VERTEBRAMANDIBULAR DEFORMITIESMANDIBULAR DEFORMITIESSHORT NECKSHORT NECKSEVERE TRISMUSSEVERE TRISMUS

INVESTIGATIONSINVESTIGATIONS

BLOOD CYTO,COAGULOGRAMBLOOD CYTO,COAGULOGRAMBSL,UREA CREATINE,HIV,BSL,UREA CREATINE,HIV,ULTRASOUNDULTRASOUNDELECTROMYOGRAPHYELECTROMYOGRAPHYSTROBOSCOPYSTROBOSCOPYRADIOLOGY,TOMOGRAPHYRADIOLOGY,TOMOGRAPHYCT SCAN AND MRICT SCAN AND MRI

INSTRUMENTS IN MLSINSTRUMENTS IN MLS

TECHNIQUE IN MLSTECHNIQUE IN MLS

GENERAL ANAESTHESIAGENERAL ANAESTHESIAUSE SPECIALLY DESIGNED MLS END.TUBEUSE SPECIALLY DESIGNED MLS END.TUBEINTRALARYNGEAL 10% XYLOCAINE SPRAYINTRALARYNGEAL 10% XYLOCAINE SPRAYSUPINE POSITION WITH NECK EXT.SUPINE POSITION WITH NECK EXT.PRINCIPALLY TWO INSTRUMENTS SHOULD PRINCIPALLY TWO INSTRUMENTS SHOULD BE USED,ONE FOR GRASPING AND ONE FOR BE USED,ONE FOR GRASPING AND ONE FOR CUTTINGCUTTINGAVOID PLUCKING,TEARING,NIPPING OF AVOID PLUCKING,TEARING,NIPPING OF VOCAL PATHOLOGYVOCAL PATHOLOGY

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MLSMLS-- TECHNIQUETECHNIQUE

EXPOSE COMPLETE LARYNXEXPOSE COMPLETE LARYNXVIEW ANT.COMM.,VOCAL VIEW ANT.COMM.,VOCAL CORDS,ARYTENOIDS,VOCAL CORDS,ARYTENOIDS,VOCAL PROCESS AND SUBGLOTTISPROCESS AND SUBGLOTTISADJUST SUSPENSION ADJUST SUSPENSION LARYNGOSCOPE WITH CHEST LARYNGOSCOPE WITH CHEST SUPPORTSUPPORTPROCEED FOR SURGERY MLSPROCEED FOR SURGERY MLS

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ENDOLARYNGEAL ENDOLARYNGEAL --LESIONSLESIONS

VOCAL VOCAL -- REHABILITATIONREHABILITATION

VOICE RESTVOICE RESTBREATHING EXERCISES.BREATHING EXERCISES.RELAXATION EXERCISESRELAXATION EXERCISESELECTRIC STIMULATIONELECTRIC STIMULATIONAVOID WHISPERINGAVOID WHISPERINGSTEAM INAHALATIONSSTEAM INAHALATIONSCOUGH SUPPRESSANTSCOUGH SUPPRESSANTSVOICE THERAPY ONLY AFTER 1 WKVOICE THERAPY ONLY AFTER 1 WK