Endoscopic laser cordectomy is a minimally invasive surgical procedure primarily used to treat laryngeal conditions, particularly early-stage laryngeal cancer and some benign tumors of the vocal cords. This technique involves the use of a laser to precisely remove affected tissue while preserving surrounding structures and functionality. The procedure is performed under local anesthesia with sedation, allowing for better patient comfort and safety. During the endoscopic examination, a flexible or rigid endoscope is inserted through the mouth or nose to visualize the vocal cords directly. The surgeon utilizes a specialized laser instrument that emits focused light energy to vaporize or excise the targeted tissue, achieving accurate results with minimal damage to adjacent areas. One of the significant advantages of endoscopic laser cordectomy is its ability to facilitate precise tissue removal with reduced bleeding, swelling, and recovery time compared to traditional surgical methods. Patients often experience less postoperative discomfort and a quicker return to normal activities, making it a desirable option for those with certain laryngeal lesions. Moreover, the procedure can often be performed on an outpatient basis, allowing patients to go home the same day. In addition to treating cancer, endoscopic laser cordectomy can also address vocal cord nodules, polyps, or cysts, thereby alleviating symptoms like hoarseness, breathiness, or difficulty speaking. It is essential for candidates to undergo thorough preoperative evaluation, including imaging studies and possibly biopsy, to ensure that they are suitable for this method. While generally successful, the procedure carries risks such as voice changes, aspiration, and, in rare cases, respiratory complications. Follow-up care is crucial to monitor any potential recurrence of the disease and to assess voice quality changes post-surgery. In conclusion, endoscopic laser cordectomy represents a significant advancement in the field of otolaryngology, combining technology and surgical expertise to improve outcomes for patients with laryngeal conditions while minimizing the impact on their quality of life. This procedure stands out due to its effectiveness, reduced recovery time, and lower morbidity rates, underscoring its role as a pivotal option in managing laryngeal disorders. Overall, as techniques and technologies continue to be refined, endoscopic laser cordectomy is expected to remain an integral part of laryngeal surgery, providing patients with improved therapeutic options and preserving the delicate functions of the voice box.
