Endolaryngeal Microsurgery (MLS)

Endolaryngeal Microsurgery (MICROLARYNGOSURGERY – MLS)

Endolaryngeal microsurgery, also known as microlaryngosurgery (MLS), is a surgical procedure performed using a laryngoscope (laryngoscopy) to remove formations such as nodules, cysts, or polyps in the vocal cords or to conduct diagnostic examinations of structures like the larynx and pharynx. It is also referred to as microscopic vocal cord surgery.

How Is Endolaryngeal Microsurgery (MLS) Performed?

Endolaryngeal microsurgery is performed through the mouth under general anesthesia. The procedure typically lasts about one hour.

Laryngoscopy is conducted using a long metal tube inserted from the mouth to the larynx, allowing visualization, followed by surgery performed with the assistance of a surgical microscope. If the formations are very large or located on both vocal cords, the procedure may need to be carried out in multiple sessions.

After MLS, it is essential to address factors contributing to the condition, such as improper voice use, to prevent recurrence.

After Endolaryngeal Microsurgery (MLS)

Hospitalization is generally not required after endolaryngeal microsurgery. Patients are usually observed for 3-4 hours post-procedure. In rare cases, overnight hospitalization may be necessary. The following points should be considered after the procedure:

• Rest the voice for one week.
• Avoid smoking and alcohol consumption.
• Stay away from polluted, smoky, or dusty environments.
• Avoid straining the throat.
• Treat reflux if present.

Complications of Endolaryngeal Microsurgery (MLS)

The insertion of the metal tube during endolaryngeal microsurgery (MLS) may be challenging in individuals with short necks or high larynxes, potentially causing injury to the teeth, tongue, or throat. If the treated formation is very large or located deep within the vocal cords, changes in voice quality may occur following the procedure.