[Laryngeal fibroendoscopic surgery. Our experience]

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery

Background:

• Flexible fiberscopes with working channels have been available since 1992.
• Traditional direct laryngoscopy (Kleinsasser technique) is the established method for upper airway and digestive tract surgeries.

Purpose of the Study:

• To evaluate the efficacy and advantages of laryngeal fiberscopic surgery.
• To report on four years of surgical experience using this technique.

Main Methods:

• Laryngeal fiberscopic surgery performed using a flexible fiberscope with a working channel.
• Surgical interventions on the upper respiratory and digestive tract.

Main Results:

• A total of 368 surgical interventions were performed over four years.
• Nearly half of the procedures involved removing benign vocal cord lesions (polyps, nodules).
• Key benefits include avoidance of general anesthesia, hospitalization, reduced surgical risk, and cost savings.

Conclusions:

• Laryngeal fiberscopic surgery is a significant advancement in the field.
• It presents a valuable alternative to traditional direct laryngoscopy for numerous applications.
• The technique offers improved patient outcomes and resource efficiency.