Department of Otorhinolaryngology - Head and Neck Surgery

McGovern Medical School

The Novel Use of the Laparoscopic Bipolar Vessel Sealing System in Endoscopic Laryngeal Surgery

Laryngeal Cyst Resection

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Jay K. Ferrell, MD; Benjamin Yang, MD; Uma Ramaswamy, MD; Ronda E. Alexander, MD
Ibrahim Alava III, MD
Objective: To report our preliminary experience highlighting the novel use of the laparoscopic bipolar vessel sealing system (LBVSS) in endoscopic laryngeal surgery
Study Design: Retrospective case series
Methods: A retrospective review of all patients undergoing endoscopic management of laryngeal masses with the LBVSS at a large, academic medical center
Results: Three patients underwent successful endoscopic management of various laryngeal masses using the LBVSS. Case 1 is a 54 year old woman with a supraglottic schwannoma causing progressive dysphagia and airway obstruction. Case 2 is a 30 year old woman with a history of a previously excised soft tissue sarcoma presenting with a secondary laryngeal synovial sarcoma. Case 3 is a 44 year old woman who presented with worsening upper airway symptoms secondary to endolaryngeal extension of a congenital cyst. In all cases, the laryngeal mass was successfully excised en bloc, and there were no immediate or delayed postoperative complications.
Conclusions: The LBVSS is a safe and effective tool with demonstrated utility in endoscopic and head and neck surgical applications. This study is one of the first to demonstrate the safe, efficacious use of the LBVSS for endoscopic resection of well-defined laryngeal masses. However, larger prospective studies are needed to better elucidate its ideal role in endoscopic airway surgery.