Endoscopic Laryngeal Surgery

Endoscopic Laryngeal Surgery

Endoscopic Laryngeal Surgery encompasses a range of minimally invasive procedures performed on the larynx (voice box) using rigid or flexible endoscopes, often combined with microsurgical techniques and laser technology. These procedures treat benign and malignant conditions of the larynx while preserving voice quality and airway function. Dr. Vishal Vikas Nair is an expert in microlaryngoscopy and endoscopic laryngeal procedures.


What is Endoscopic Laryngeal Surgery?

Endoscopic laryngeal surgery is performed under general anaesthesia using a rigid laryngoscope introduced through the mouth to expose the larynx. A surgical microscope or endoscope provides magnified visualisation, and microsurgical instruments or laser (CO2 or KTP) are used to precisely treat laryngeal lesions with minimal damage to surrounding normal tissue.


Conditions Treated

  • Vocal cord nodules, polyps, and cysts
  • Reinke's oedema (polypoid corditis)
  • Laryngeal papillomatosis (HPV-related warts)
  • Vocal cord granulomas
  • Laryngeal leukoplakia and dysplasia
  • Early glottic carcinoma (T1/T2)
  • Subglottic stenosis
  • Laryngeal web
  • Vocal cord paralysis (arytenoid procedures)
  • Laryngeal trauma and foreign bodies

Procedures Performed

Microlaryngoscopy with Excision

Precise removal of vocal cord lesions (nodules, polyps, cysts) using microsurgical cold instruments to preserve the vocal cord epithelium and restore voice quality.

Laser Laryngeal Surgery

CO2 or KTP laser used for ablation of papillomas, leukoplakia, early carcinoma, and subglottic stenosis with excellent haemostasis and precision.

Arytenoidectomy / Cordotomy

Endoscopic procedures to widen the glottic airway in bilateral vocal cord paralysis, improving breathing while preserving voice.


Benefits of Endoscopic Laryngeal Surgery

  • No external neck incision
  • Excellent preservation of voice quality
  • Precise tissue removal with minimal collateral damage
  • Short hospital stay and rapid recovery
  • Can be repeated if required (e.g., for papillomatosis)
  • Diagnostic biopsy and treatment in a single procedure

Symptoms Indicating Laryngeal Surgery

  • Hoarseness or change in voice quality
  • Voice fatigue or loss of voice
  • Difficulty breathing or stridor
  • Sensation of something in the throat
  • Chronic throat clearing or cough
  • Difficulty swallowing
  • Abnormal findings on laryngoscopy

Why Choose Dr. Vishal Vikas Nair?

  • Expert in microlaryngoscopy and laser laryngeal surgery
  • Dedicated to voice preservation and functional outcomes
  • Comprehensive pre-operative videolaryngoscopy evaluation
  • Collaboration with speech therapists for voice rehabilitation
  • Experience with both benign and malignant laryngeal conditions