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Laser Cordectomy
T1 Glottic Carcinoma
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| 1. Preoperative view. Decortication of the vocal cord has preceded. | 2. Insertion of pledget to protect the cuff. |
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| 3. Delineating for the removal of the left false vocal cord. | 4. Beginning transection. |
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| 5. Continuing the removal of the false cord. | 6. Completion of the removal of the false vocal cord. The upper surface of the true cord is clearly visible. |
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| 7. Beginning the removal of a part of the right false cord. | 8. Completion of the removal in the right side also. The glottis under total control. |
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| 9. Transection at the middle of the vocal cord. The tumor extended from the anterior commissure to the vocal process of the arytenoid. | 10. Delineation of the removal including the anterior third of the right vocal cord. |
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| 11. Commencing the removal of the anterior part of the glottis having the thyroid cartilage as border. | 12. During the dissection, a large vessel may be encountered. The bleeder is located by the suction …. |
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| 13. … grasped by the forceps and cauterized. | 14. Continuing the laser dissection. The inner surface of the thyroid cartilage is seen. |
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| 15. The perichondrium is gradually cut and detached. | 16. Continuing elevating the specimen by detaching the perichondrium. |
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| 17. Detachment reaches the inferior border of the thyroid cartilage. | 18. Transection along the attachment of the specimen to the cricothyroid membrane. |
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| 19. View after removal of the anterior specimen. | 20. Moving the endotracheal tube with the laryngoscope. |
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| 21. Reinsertion of pledget to protect the cuff. | 22. Delineation for the removal of the posterior part of the cord, through the vocal process of the arytenoid cartilage. |
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| 23. Beginning dissection. | 24. Enough bleeders are encountered and treated with cauterization. |
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| 25. Completion of removal with scissors. | 26. The final view of the posterior glottis. |
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| 27. View of the anterior glottis. The denuded thyroid cartilage is seen, as well as the area of the cricothyroid membrane and inside the circle the protrusion of the cricoid cartilage. | 28. A large piece of cotton to clean the larynx. |
