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Office Based Laryngology

Much of modern day laryngology is now able to be performed in the office avoiding the need for uncessary studies such as CTs and uneeded trips to the operating room. In order to offer these services the first tool needed is “distal-chip” endoscopy equipment. This is state-of-the-art equipment in which digital cameras are used to examine a patient and recorded for archiving and review at a later time. Stroboscopy is a tool that is used to evaluate a patients larynx during voice production allowing for intricate examination.

Vocal fold injection is a procedure in which a filler agent can be placed within the vocal fold for patients with paralysis or vocal fold atrophy. Using a camera for guidance, injectate can be directed through the mouth or through the skin into the vocal fold for an immediate voice result. Medication to treat conditions such as scar or granulomas may also be administered during a vocal fold injection.

In-office bronchoscopy is a procedure in which a small camera is passed through the vocal folds to examine the trachea and bronchi. This allows a laryngologist to examine for conditions such as subglottic and trachea stenosis.

Office-based laser surgery involves the passage of small fibers through the channel of a camera. Although these fibers are miniscule and less than a millimeter in size, they are able to transmit powerful laser energy which can be delivered to the vocal folds for diseases such as papilloma and leukoplakia.

Esophagoscopy, in which a camera is passed through the nose into the esophagus allows a physician to evaluate patients with difficulty swallowing. If narrowing, or stenosis, is encountered balloon dilation can be simulataneously be performed.

Dr. Sunil Verma, Director of the University Voice and Swallowing Center, is a recognized expert in office-based laryngology and strives to treat patients within the office if possible.