%0 Journal Article
%T Single Stage Conservative Surgery to Avoid Recurrence in Combined Laryngocele: Important Modifications.
%A Mishra A
%J Indian J Otolaryngol Head Neck Surg
%V 74
%N 0
%D Oct 2022
%M 36452588
暂无%R 10.1007/s12070-020-01955-1
%X Laryngocele is very uncommon and no consensus regarding its surgical management is yet established. While traditional external approach is still being recommended some suggest a better microlaryngoscopic management assisted by CO2 laser that has gained popularity. Recurrence is better known with conservative surgery but this paper presents a modified single stage endolaryngeal technique for combined laryngoceles to overcome the same. The salient features are (1) A comparatively larger operculum is created and all the visible mucosa is excised; (2) the base of residual postoperative cavity is moistened with cotton soaked with concentrated carbolic acid for 1 min and (3) the residual 'charred' base with intermittent oozing is packed with single layer of surgicel. The reader is further encouraged to see surgical video of entire procedure.