CO2 laser-assisted microsurgery for intracordal cysts: technique and results of 49 patients

Matar, Nayla; Amoussa, Kassira; Verduyckt, Ingrid; Nollevaux, Marie-Cécile; Jamart, Jacques; Lawson, Georges; Remacle, Marc

doi:10.1007/s00405-010-1315-y

Cited by 14 publications

(15 citation statements)

References 16 publications

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“…This may be performed with cold instruments or with laser technology, which is increasingly well evidenced. 60 With the flap retracted medially, the cyst is completely removed. The flap is then replaced and may be held in place with fibrin sealant or microsutures or left to heal naturally.…”

Section: Key Findingsmentioning

confidence: 99%

Laryngeal Cysts in Adults: Simplifying Classification and Management

Heyes¹,

Lott²

2017

Otolaryngol.--head neck surg.

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Objective Laryngeal cysts may occur at any mucosa-lined location within the larynx and account for 5% to 10% of nonmalignant laryngeal lesions. A number of proposed classifications for laryngeal cysts exist; however, no previously published classification aims to guide management. This review analyzes contemporary laryngeal cyst management and proposes a framework for the terminology and management of cystic lesions in the larynx. Data Sources PubMed/Medline. Review Methods A primary literature search of the entire Medline database was performed for all titles of publications pertaining to laryngeal cysts and reviewed for relevance. Full manuscripts were reviewed per the relevance of their titles and abstracts, and selection into this review was according to their clinical and scientific relevance. Conclusion Laryngeal cysts have been associated with rapid-onset epiglottitis, dyspnea, stridor, and death; therefore, they should not be considered of little significance. Symptoms are varied and nonspecific. Laryngoscopy is the primary initial diagnostic tool. Cross-sectional imaging may be required, and future use of endolaryngeal ultrasound and optical coherence tomography may revolutionize practice. Where possible, cysts should be completely excised, and there is growing evidence that a transoral approach is superior to transcervical excision for nearly all cysts. Histology provides definitive diagnosis, and oncocytic cysts require close follow-up. Implications for Practice A new classification system is proposed that increases clarity in terminology, with the aim of better preparing surgeons and authors for future advances in the understanding and management of laryngeal cysts.

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Section: Key Findingsmentioning

confidence: 99%

Laryngeal Cysts in Adults: Simplifying Classification and Management

Heyes¹,

Lott²

2017

Otolaryngol.--head neck surg.

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“…These include conservative methods such as marsupialization, wide‐opening method, subepithelial infusion technique, island flap technique, and CO 2 laser‐assisted microsurgery. However, none have been shown to have outstanding clinical efficacy 3–7 . Since 2012, we have been using the “cotton ball self‐retraction” technique in vocal cysts surgeries.…”

Section: Introductionmentioning

confidence: 99%

“…However, none have been shown to have outstanding clinical efficacy. [3][4][5][6][7] Since 2012, we have been using the "cotton ball self-retraction" technique in vocal cysts surgeries. In a previous study, we reported that this surgical technique is feasible as a supportive surgical method during the microflap technique.…”

Section: Introductionmentioning

confidence: 99%

Cotton Ball Self‐Retraction Technique: A Novel Surgical Method Used During Microflap Dissection

et al. 2021

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Objectives/Hypothesis Microsurgical removal with a microflap technique via direct laryngoscopy is considered the primary treatment option for vocal cysts. However, the microflap technique is technically difficult and challenging. Therefore, we developed the “cotton ball self‐retraction” technique to aid in vocal cyst surgery and reduce the cyst rupture incidence. This study aimed to evaluate the efficacy of this technique in microflap dissection for vocal cysts by comparing its treatment outcomes with those of the conventional technique as well as investigate the rate of recurrence using a retrospective chart review. Study Design A retrospective review. Methods We reviewed the medical records of 169 patients who underwent surgery with the microflap technique for vocal cysts from December 2006 to December 2017. The patients were divided into two groups: 78 patients underwent laryngomicrosurgery using the conventional microflap technique (group A), whereas the remaining 91 patients underwent surgery with the microflap technique with cotton ball self‐retraction (group B). The voice outcomes and operative data of the two groups were retrospectively reviewed and compared. Results The cyst ruptured intraoperatively in 42 of 78 (53.8%) patients in group A and 17 of 91 (18.6%) patients in group B. Recurrence during the follow‐up period was detected in 9 of 78 (11.5%) patients in group A and 2 of 91 (2.19%) patients in group B. The degrees of improvement in assessed voice parameters were not significantly different between the groups. Conclusion The cotton ball technique allows accurate and effective dissection during microflap surgery for intracordal cysts. Level of Evidence 3 Laryngoscope, 131:E2553–E2557, 2021

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“…Furthermore, fibrotic bands remain attached to overlying epithelium or an underlying vocal ligament after microflap dissection, and this can result in recurrence and persisting dysphonia . Given these consideration, various more effective and conservative surgical techniques have been developed such as marsupialization, the wide‐opening method, the subepithelial infusion technique, the island flap technique, and CO 2 laser–assisted microsurgery . Various surgical techniques are used to reduce the possibility of rupture and damage of vocal epithelium.…”

Section: Introductionmentioning

confidence: 99%