Chirurgie des tumeurs bénignes du larynx

Abstract

There are two methods for extracting benign laryngeal tumours: the endoscopic approach, either with microsurgery or with laser, and the external, cervical approach. The choice of one of these two accesses depends essentially on the size of the tumour, and also on the anatomy of the larynx. Indeed, even if endoscopic surgery tends to become the gold standard, it can't be undergone when good larynx exposure, especially of the anterior commissure, is difficult or impossible to obtain. On the other hand, extended tumours, like great laryngoceles, necessitate external approach, through the thyro-hyoid membrane or through the thyroid cartilage's wing. Deep knowledge of all these techniques is essential for the surgeon.