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Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions
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Sulcus mucosal slicing technique.

Paulo Pontes1, Mara Behlau

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Federal University of São Paulo, São Paulo, Brazil. ppontes@inlar.com.br

Current Opinion in Otolaryngology & Head and Neck Surgery
|November 4, 2010
PubMed
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The slicing mucosa technique is a powerful surgical option for severe vocal fold sulcus striae, especially when mucosal wave is absent. Intensive voice rehabilitation is crucial for optimal functional outcomes.

Area of Science:

  • Otolaryngology
  • Laryngology
  • Voice Surgery

Background:

  • Vocal fold sulcus striae can significantly impair voice quality.
  • The slicing mucosa technique is a specialized surgical intervention for specific vocal fold pathologies.

Purpose of the Study:

  • To outline the precise surgical indications for the slicing mucosa technique.
  • To detail case selection, surgical procedures, and patient rehabilitation.
  • To characterize the immediate and long-term outcomes of this technique.

Main Methods:

  • Review of literature on the slicing mucosa technique.
  • Analysis of case selection criteria for specific vocal fold conditions.
  • Evaluation of surgical aspects and rehabilitation protocols.

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Last Updated: Jun 7, 2026

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Main Results:

  • The slicing mucosa technique is indicated for severe sulcus striae with absent mucosal wave and moderate to severe glottic chink.
  • An alternative procedure exists for cases with severely reduced mucosal movement or submucosal scarring.
  • Thyroplasty type III may be necessary for optimizing functional results in selected cases.

Conclusions:

  • The slicing technique is an aggressive but effective treatment for severe sulcus striae.
  • Significant voice deviation is expected immediately post-surgery.
  • Mandatory and intensive voice rehabilitation is required, with final results typically seen within 6 months.