• Facial Paralysis

• Larynx and Voice

• Nose and Sinuses

• Obstructive Sleep Apnea

• Parathyroid Glands

• Salivary Glands

• Skull Base Surgery

• Thyroid Gland

• Tonsils and Adenoids

• Acoustic Neuroma Surgery

• Adenoidectomy and Tonsillectomy

• Cochlear Implant Surgery

• Direct Laryngoscopy (micro-suspension laryngoscopy)

• Endoscopic Sinus Surgery

• Laser-Assisted Uvulo-Palatoplasty (LA-UP)

• Mastoidectomy

• Myringotomy and Tubes (PETs)

• Parathyroidectomy

• Parotidectomy

• Pituitary gland surgery (trans-sphenoidal approach)

• Radio-frequency Uvulo-palatoplasty (Somnoplasty)

• Salivary Gland Surgery

• Septoplasty

• Stapedectomy

• Submandibular Gland Excision

• Thyroidectomy

• Tonsillectomy and Adenoidectomy

• Tympanoplasty

• Uvulopalatopharyngoplasty (UPPP)

General

Direct laryngoscopy is the most common procedure performed on the larynx requiring general anesthesia.  This procedure is used to visualize and biopsy diseases in and around the larynx.

The procedure is performed under general anesthesia.  The patient is positioned in a way that allows extension of the head and neck.  Sometimes arthritis or other musculoskeletal problems in the neck limit the amount of extension that can be obtained.

The teeth and gums are protected, and the laryngoscope is introduced into the mouth and throat.  The laryngoscope has a rigid, hollow barrel that allows one to visualize the larynx and pharynx.  Fiberoptic light cables are used for illumination.  The laryngoscope can be attached to other instruments which suspend the laryngoscope and allow the surgeon to use both hands for procedures within the larynx (suspension laryngoscopy) The operative microscope and lasers are also used when indicated.

Most procedures on the larynx are relatively short, usually less than one hour.  Patients are observed for a few hours post-operatively and then are sent home if they meet certain criteria. 

Post Operative Instructions

1. Please do not smoke.

2. Diet:   Some patients might experience nausea or vomiting after general anesthesia; eat a light meal or drink just liquids until the nausea resolves.  You may resume a normal diet as you desire.  Make sure to drink plenty of fluids during the recovery period.  This will help the healing process.  Avoid alcoholic beverages.  These drinks cause dehydration and thickening of mucus and are damaging during the healing period.

3. Voice Rest:  Please avoid talking for at least 7 days after your surgery.  This will give the tissues time to heal.  Hoarseness after laryngeal surgery might last for 2 to 3 weeks.  If you must speak, use a normal voice.  Whispering and shouting are both damaging to the vocal folds, especially during the healing phase.

4. Avoid throat clearing and coughing.  Both acts are traumatic to the vocal folds.

5. Medications: You might have some mild soreness in your throat or tongue following this surgery.  This is normal and can usually be relieved with Tylenol or Extra-strength Tylenol.  Avoid aspirin and other NSAIDS which might increase bleeding.  Look here for a list of some of these medications.  Antibiotics are generally not necessary.  Follow the directions of any medication that your physician prescribes.

6. Follow-up: Please make a follow-up appointment for one to two weeks following your surgery.  At that time, your physician will discuss your biopsy result and any further treatment that might be required.

7. If you develop problems or need to speak to the physician on call, please call the main office number, (713) 795-0111.  We are unable to refill your prescriptions on weekends or after hours, so please call for these matters during usual business hours.  We do not refill painkillers over the phone.