1. Flexible Video-Laryngoscopy & Video Stroboscopy
Flexible Video-laryngoscopy: Using a sophisticated CCD camera integrated at the tip of the endoscope, conditions of throat can be directly seen by the doctors via the high resolution monitor
Video stroboscopy: This is used for advanced evaluation of vocal cord movement
2. Fish Bone Retrieval
Occasionally, fish bone can be stuck in the throat. Impacted fish bone/foreign body ingestion can cause potentially lethal complications of airway obstruction and neck abscess. Therefore, it is very important to remove the impacted fish bone or foreign body with the aid of endoscope.
3. Fine Needle Aspiration (FNA)
Tissue diagnosis is crucial for any head and neck mass such as lymph nodes, cancer or thyroid nodules. Fine needle aspiration is safe and reduces the need for open biopsy.
It is absolutely indicated for obstructive sleep apnea syndrome and suspicion of tonsillar tumor. In chronic tonsillitis, tonsillectomy is recommended for recurrent infection more than four times a year.
5. Uvulopalatopharyngoplasty (UPPP)
For moderate to severe obstructive sleep apnea syndrome, UPPP is useful in selected cases. UPPP combines tonsillectomy with removal of uvula (dumb-bell) and a rim of soft palate. UPPP is the reduction/resection of soft palate and uvula; plus resection of tonsils.
Who needs the operation? Obstructive sleep apnea syndrome (OSAS), snoring
Why have the operation?
Reduce sleep apnea; reduce snoring
Surgical risk and possible complications: More than 1% risk: Pain, bleeding, throat discomfort and post-nasal dripping sensation, voice change, infection.
*There is chance of incomplete relief of symptoms and recurrence
If vocal cord polyp or vocal cord nodule persists despite voice rest, speech therapy and medications, surgical excision is required. Excision of such nodules or polyps has to be performed with the aid of micro-laryngoscope.
Who needs the operation?
THROAT: Lesions in the larynx and related area
Why have the operation?
THROAT: Improve the voice quality, Relief airway obstruction, Obtain biopsy for histology, Excise lesion in selected cases Surgical Risk and possible complications
More than 1% risk: Bleeding, pain, infection, trauma to oral tissue
Less than 1% risk: Teeth injury causing loosening, fracture and pain
*Temporal-mandibular joint injury causing pain, trismus and subluxation
* Voice changes
* Upper airway obstruction
* Postoperative pulmonary edema
* Cervical spine injury
* Loss taste, temporary to permanent
* Death due to serious surgical and anesthetic complications